My symptoms started at the beginning of 2022: burning, tingling, throbbing feet at night, as well as random electrical surges through my arms and legs and occasional numbness and loss of strength in my hands. I saw a neurologist about a year ago and he diagnosed me with Small Fiber Neuropathy triggered by 25 years of prediabetes. He did some blood work, but no other diagnostic tests. He told me that the neuropathy was not curable but that, as long as I exercised and kept my weight and A1c under control, the neuropathy would progress slowly (I was 68). In the meantime, my family doctor prescribed Ozempic for my prediabtes and obesity. Over the past year, I have lost 50 lbs and my A1c has dropped from 6.2 to 5.3. I also have a daily exercise routine that I find enjoyable. I take many of the usual supplements, including magnesium, B12, D3, Benfotiamine, Lion's Mane... I wear compression knee socks for all of my waking hours, and apply topical creams as needed, such as the magnesium lotion, Voltaren and menthol. I resisted the stronger medications as long as I could....but at the beginning of this summer, the burning feet and pain got worse and occurred during the the days as well as nights. My doctor prescribed a low dose of Gabapentin and eventually increased the dosage to 600 mg per day. This seems to be working well for me.