Hello @johnjp, I would like to add my welcome along with @hookedongolf2004, @patriciaschulz1950 and others. I idiopathic small fiber peripheral neuropathy and always wondered what the cause is. For me I think mine is possible related to the metabolic syndrome since I fit in the traits and have been labelled by all of my PCPs over the years as being pre-diabetic and not knowing what that really means health wise.

I too was told I need to go on statins but declined and decided to try and lower my cholesterol numbers with some lifestyle changes - eating healthier, exercising more, losing weight and cutting back on all of the sugar I was taking in. I only did this because I learned that statins indeed have a connection with neuropathy and I was already dealing with neuropathy and didn't want it to get worse. There are lots of research papers on the connection: https://scholar.google.com/scholar.

There are many different causes of neuropathy which I'm guessing is why it is so hard to pin down a cause for many of us. Neuropathy Commons has a good list if you want to learn more about the different causes - https://neuropathycommons.org/neuropathy/causes-neuropathy.

I shared my neuropathy journey in another discussion here - https://connect.mayoclinic.org/comment/310341/. Probably the best thing you can do is to continue learning as much as you can about the condition and the different treatments available that may provide some relief.