Hi all. I’m new to the group. I stumbled into your forum looking for some help and I’ve already seen some encouraging posts. I appreciate it.

About a year and a half ago I began noticing numbness on the bottom of my left foot. I put it aside for several months because I was mainly distracted by a problem with nausea. The nausea was due to my stomach not digesting food as fast as it should (gastro-paresis). I’ve altered my eating habits to manage it. It’s a problem common to diabetes but I don’t have diabetes. In the meantime my numbness spread from my left foot to right foot to hands. At the office my feet feel like my socks are bunching up. I also have tingling and occasional pain. At night now I have feeling of cold or hot in my feet that affects my sleep. I had a brain MRI that was unremarkable. I had a nerve conduction EMG done that concluded there are “subtle electro-diagnostic findings suggestive of mild sensory poly-neuropathy”, and it was noted that this testing does not assess small fiber nerve function. The neurologist said blood test results were normal. He said he didn’t know if the gastro-paresis and PN were related. He didn’t know what caused the PN. He didn’t recommend anything for pain, or any vitamin or supplement regimen to address the PN. He told me to wait awhile and schedule an appointment if it gets worse. I don’t drink or smoke. I don’t take vitamins or drugs. I have a desk job.

I can always go back to the neurologist but I don’t believe he’d have anything new for me if I didn't have anything new to report to him. Here are some results from the labs he ordered: B12 (339 pg/mL) with Folate (22.41 ng/mL), Lyme AB (Neg), TSH (5.08 mIU/liter), ANA SCR (Neg), ESR/WEST (7), RPR (NON REAC), free Thyroxine 1.18 mg/dL, and C REACTIVE PROT (0.2). Just a note last November my TSH and Potassium were elevated for some reason but recently are in normal range.

Should I recommend other tests with the doc as he may have overlooked something? Is there anything I can do on my own, now, any supplements I can take, without knowing the cause that might generally help with PN? Thanks for any advice you can offer.

Mike