Here is something to think about.....

I am running a low bicarbonate, well borderline low...one more tick and it is below normal. I was reading up on this, and it seems that if one runs a low bicarb, one is more susceptible to osteoporosis, and basically bone breakdown....I wonder if this could make one more susceptible to neuropathy....given diabetes generally results in ketoacidosis---different yes, but still acidosis.

People with this run low Vit. D as well, and usually don't absorb dietary or supplements until the bicarb issue is fixed.

My bmp is trending towards distal renal tubular acidosis type 1 (high chloride, low bicarb, low K, low Ca, normal anion gap). This comes with Sjogren's, but, perhaps could be a result of ivig due to hypergammaglobulinemia?? Don't really know I guess. But, I also drink reverse osmosis water which has no alkalinity? Perhaps my dietary intake of alkaline food and drink is low or else my kidneys are just not making bicarb as they should..... Or, I am falling apart.

Anyway, any thoughts on metabolic acidosis and small fiber....any one else have low bicarb? MRSD, you probably are familiar with this?