Hi John, I've noticed there seems to be more dryness to my toes and fingers. I contribute this Raynaud's disease which I have as well as Gout and peripherals neuropathy which has not been diagnosed as small fibre neuropathy, Yet! Having three pain events can be trying some days, which meds do I use, LOL. You've noticed the skin dryness as well, I'm using aromatherapy specially mixed for me and a cream Busia's Balm Hand-Made, Cassia Arthritis when I go to sleep, this helps me as well.