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Following investigations are done (many of which may have been done for you) to ascertain the cause;
1) Electromyography/nerve conduction studies (EMG/NCS)
2) MRI of the spine and brain
3) blood glucose and glycosylated hemoglobin
4) serum B12 level with methylmalonic acid (with or without homocysteine),
5) serum protein electrophoresis
6) Anti-nuclear antibody
7) Lyme testing
8) Rheumatoid factor
9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)
Supplements and alternative integrative therapy protocols are;
1) Evening primrose oil
3) Alpha-lipoic acid
4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analogue
5) Vitamin E
Your physician may consider to start Gabapentin or Pregabalin, if symptoms are significant and persistent.
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you are amazing i do have neropathy from my diabetis. excellent u gave me enough information thank you so much