I'm the one with idiopathic neuropathy in b feet. i did have direct punch biopsies with stains and microscopic studies done. do i have any other options? am taking cymbalta1200 mg for pain; constant tingling, slternating cold and burning..?

Anti-oxidants Alpha Lipoic Acid & Acetyl-L-Carnitine can be pursued on a case-by-case basis for patients with neuropathy. Please discuss with your primary care physician or book an appointment with an integrative medicine physician with training in nutritional supplements.

If not done previously, testing for blood vessel obstruction in the lower extremity can be considered, and another option is to look at the lower spinal cord, (cauda equina). Additional opinions might be of value.