Hi Judy @judyeccles, Sorry you haven't found anything that really helps. There are quite a few different discussions on supplements for neuropathy if you want to scan through the list here - https://connect.mayoclinic.org/search/discussions/?search=neuropathy%20supplements.

I don't have the pain that you have but do have the numbness that I've been dealing with for over 40 years. I didn't bother to get a diagnosis until 2016 and when I did I got the same answer from my Mayo neurologist after being diagnosed with idiopathic small fiber peripheral neuropathy - there aren't any medications that can help with the numbness. That got me looking into supplements and although it's not a cure I do believe it's helped reduce and possibly stopped the progression of my numbness symptoms. I shared my journey in another discussion here - https://connect.mayoclinic.org/comment/310341/.

The Foundation for Peripheral Neuropathy has a list of supplements shown to help folks with neuropathy at the end of their complementary and alternative therapies document here - https://www.foundationforpn.org/wp-content/uploads/2024/11/Complementary-and-Alternative-Treatments.pdf. They don't really say what the therapeutic dose for each are but I take most of them with the protocol that I have used since 2016. Here's a document put together by group that I order mine from but some you may be able to purchase the supplements elsewhere. I would just make sure the quality is good and is R-ALA for the alpha lipoic acid. I would also check with my doctor before starting the supplements.

Hope this helps.