Hi @vash - Did your neurologist perform a skin punch biopsy to diagnose small fiber neuropathy? That would certainly help explain your symptoms. I too have SFN and understand how difficult it can be. I'm sorry you had to leave work last year. Are you able to work presently?

Keep in mind nerve medications take time to build up and achieve an effective dose. How long have you been taking gabapentin?

Please do your best to fight being in bed all day, Vash. I realize you hurt, and are trying with meditation and walking, but being in bed all day doesn't do you any favors like you may think. Have you tried working on proper breathing techniques throughout the day, not just when you really need them? What small tasks can you keep busy with to keep your mind occupied?