Thanks for the links! I will definitely read them.

Like you, I was never given a definitive test to diagnose diabetic neuropathy, everyone just assumes it because I have Diabetes Mellitus (Type 2). I did have a nerve test done by a neurologist for major fiber neuropathy, which came out negative. He said that that didn't rule out small fiber neuropathy, but didn't suggest the definitive biopsy test. He did tell me that it didn't seem to him that I'd had diabetes long enough at that time to have developed neuropathy from it (this was 1 ago–I had been 5 years at that time with Type 2–considering my blood glucose had been well-controlled (A1C 6.0-6.4). So I was a bit confused, and I wonder if it could be idiopathic or have a different cause. Anyway, like you, I have lost weight (55 pounds in the last year) while on Zepbound and Mounjaro, and have lowered my A1C to 5.4. Still, my neuropathic symptoms haven't improved, and actually feel worse in some ways. Anyway, right now I am basically surviving and using all the tools in my bag to keep the pain level down as much as possible, and looking for alternative explanations and treatments.

Thanks again for your input and providing links for reading which I will take advantage of.

Dennis