IOW, he scoffed. I had a professor once who used to say, "If you can't get in the front door, try the back door, or a window." The big question is, does he have any objections to your trying the supplements recommended? If not, wait until the Cymbalta has settled in (I'm not conversant with Cymbalta off the top of my head, so however long that is) and you've established a baseline (normalized how you feel) and try adding in one supplement at a time for a month, then add or try another. Eventually, you'll find what works for you and what doesn't, and hopefully be on the road to improvement, and may be able to wean off the Cymbalta. Cymbalta may treat symptoms, but won't halt or improve the nerve damage.

In the meantime, research Cymbalta (if you haven't already - it can be funky stuff) and keep reading up on what ails you. We have to become our own advocates.

Doc