Welcome back @newzbug, Alpha Lipoic Acid is also one of the group of supplements I take for my neuropathy symptoms (numbness only). I don't think it by itself will help that much but then I'm basing that on my opinion and reading/research. It also makes a difference what kind of ALA you are taking since a lot of the over the counter ALA is 50% synthetic which doesn't do much for you. I take the R-ALA which is the is the form of lipoic acid that occurs naturally in plants, animals and the human body and is responsible for the specific beneficial effects of Alpha-Lipoic acid. (more information here: https://geronova.com/consumers/different-forms-of-lipoic-acid/). I posted my story and what helps me earlier on Connect here: https://connect.mayoclinic.org/discussion/anyone-here-dealing-with-peripheral-neuropathy/?pg=42#comment-65985.

You might also be interested in an e-catalog of topics on neuropathy from the Foundation for Peripheral Neuropathy that I received in an email today - lots of helpful information - https://www.foundationforpn.org/wp-content/uploads/2020/02/01.29.2020-Website-eCatalog.pdf

I do have some weird itching sometimes but not sure what causes it...mostly on my arms and some on my calves. I've been making sure to keep the skin hydrated with a moisturizer. I used to use a magnesium lotion but switched to some less expensive stuff but I may go back to using it to see if that helps the itching some.

I can relate to the numbness in the hands and arms when sleeping. Mine happens when I am sleeping on my side and my arm or hand is under a pillow which I think is pinching the ulnar nerve. The numbness goes away a few minutes after I move to my other side.