[Velvet]

Originally Posted by elevatorman

I asked Chat GPT and this is what it said:

"What Type of Doctor to See

Primary care physician – first step for initial evaluation, bloodwork, and referrals
Neurologist – specializes in nerve conditions, often the key doctor for neuropathy
Podiatrist – for foot care, especially if numbness is causing balance issues or injuries
Vascular specialist – if circulation problems are suspected"

Then these tests:

"Blood Tests
Vitamin levels
Vitamin B12 (plus methylmalonic acid, homocysteine if B12 borderline)
Folate
Vitamin B1 (thiamine), Vitamin B6, Vitamin E if suspicion
Thyroid function tests (TSH, Free T4) – rules out hypothyroidism
Kidney function (BUN, creatinine, electrolytes)
Liver function panel
CBC (complete blood count) – screens for anemia, infection, bone marrow issues
Fasting glucose & Hemoglobin A1c – even if not diabetic, helps rule out prediabetes
Serum protein electrophoresis (SPEP/UPEP) – checks for multiple myeloma or monoclonal gammopathy
Inflammatory/autoimmune tests (if indicated): ANA, ESR, CRP, rheumatoid factor

Imaging / Specialized Tests
MRI of the spine (lumbar region) – checks for herniated discs, spinal stenosis, or pinched nerves
Ultrasound or Doppler of legs – if poor circulation / PAD is suspected
Nerve & Muscle Tests
Nerve conduction study (NCS) – measures how well nerves transmit signals
Electromyography (EMG) – evaluates muscle activity and detects nerve damage pattern

Physical Exams
Reflexes, vibration, pinprick, and temperature sensation tests
Foot exam for ulcers, calluses, balance issues

✅ Tip: Bring a list of all medications, supplements, alcohol intake, and toxin exposures (even things like old well water, industrial chemicals, or heavy metals can be relevant)."

I have the same condition and needed a place to start. Take the list to your doctor and see what they think.

Very comprehensive.