Hi, @mikeg0822 - I've had autonomic neuropathy symptoms since early 2007, officially diagnosed in 2016 (yes, it took that long). I was also diagnosed with low vitamin B around the same time in 2016 (yes, the docs missed this one too). I've also had low copper, diagnosed in 2013, which can cause neuropathy. I have so many GI issues that I don't absorb enough vitamin B, so I've been on injections for a few years. The levels are still low. I'm currently being treated and monitored - still on injections and oral supplementation, but not certain if they're being absorbed and cells are utilizing them - this is the big question. I have a good diet and am athletic. (Was a competitive runner up until this wretched disease took over.) I'm hoping that once my levels of both B and copper are back to normal and sustained that my symptoms resolve. This would be a dream come true. But, it might have been too long to be able to turn everything around. With you being young and catching this soon, you might have better results.