I did hear that neuropathy gets worse with smoking due to the circulation. I am so sorry you are dealing with this at such a young age. My husband is 43 and has alcoholic neuropathy. The sad thing is the pain is so severe on his feet he drinks to numb the pain. This all started in November 2009 but progressed very rapidly. I really hope I can get some support at this website. I did buy some supplements ** about a week ago. I really hope it works. He has an appointment on thursday with the top neurosurgeon. He was also taking lisinoprin for high blood pressure which we were told could cause the neuropathy and he stopped taking that about 5 days ago. thanks for your post