@joannehart That's great to hear! I've been taking R-ALA 600mg in capsule form for years, and I take Liposomal B-12 daily. I'm looking forward to giving the red light therapy a try, not just for the PN but also for my low back/sciatic pain. I've had idiopathic PN for the past 10 years which has gotten progressively worse. I have a few different topicals that I use in the evening before bed to help calm the nerves. When one topical stops working, I switch to another one. I'm also seeing a spine specialist next week, and a different neurologist in June. Sadly, I don't really think they will say anything I haven't already heard. However, I'm curious about getting off Lyrica and giving Elavil a try. I know it has it's own side effects too - they all do. But will it help me with managing the pain? Trial and error is the name of the game!