@helennicola, Thanks for your reply. I don't know if it makes a difference to know whether it is SFN and idiopathic. Obviously, you do not have diabetes nor have you been through chemotherapy. Those pre-conditions are treated somewhat differently.

Gabapentin at 300 mg in the evening is the very minimum dosage. Are you struggling with that in terms of sleeping or feeling stressed? You mentioned that you have less patience? Do you now practice yoga, meditation, and mindfulness? I just returned from my annual 3-day retreat where I learned the things I need to do based upon where I am with SFN.

And this time there were new opportunities. For example, I belong to a sangha. Tonight the sangha is coming to my house to take a walking meditation along the Mississippi River and then some mindful meditation and homemade treats around the fire-pit. So, as the hostess, I can feel the stress building. My head is dancing with little zappers. I will do some pre-event meditation. Hopefully, that will calm me down. Just being with these ladies for their love and support is amazingly helpful.

And then, if you are comfortable sharing.....do you use medical cannabis? If so, how has that experience been for you? Do you live in a state with access?

Bye for now, I need to get to work on the fruit for the sangria. Let us know how we can help you. Just make sure you are showing self-compassion and putting yourself first. We cannot care for others until we care for ourselves. We need to feel what that is like.
May you feel safe and protected today. Chris