mistyscout34 said:We should probably just rename this thread "Pill Mania." Jacob Lopez51, man, this is getting totally overkill. 😛
It’s not overkill at all if you're protecting your liver with milk thistle and NAC.
Everything I'm taking targets blood sugar, calcium, the liver, or glutamate.
My insulin resistance is right on the edge—same goes for my B12 and folate levels. It's a classic MTHFR thing.
Based on my symptoms, it feels like small fiber neuropathy caused by diabetes (basically, the brain cells mishandling glucose) combined with chronically low B1.
Plus, my homocysteine and free calcium are elevated.
Think of this as a professional protocol. I'm fighting live small fiber neuropathy, so anything that helps metabolize glucose and lowers glutamate is basically gold to me.
So yeah, I'm definitely doubling down on NAC and 5g Myo-Inositol.
I even keep some lithium orotate on hand for certain situations—mostly when I feel a shopping mania coming on, haha.

Just ordered some methyl b12 and folate.
One of my absolute go-tos for anxiety:
Lions mane and Black seed oil/Curcumin are also incredibly solid for me.
To start my morning right, I take pregabalin, then a combo of R-ALA + Benfotiamine + ALCAR + methyl b12 (sublingual, tastes like cherry), and I'm ready to go.
The reality is, once I took control of my own regimen, I saw about a 70% improvement. When I was relying solely on pregabalin, I was barely scraping by at maybe 20%.
Honestly, these supplements have absolutely crushed the "best" meds for neuropathic pain and fibromyalgia.
From what I've learned studying neuropsychiatry and neuroscience over the last year, I'm convinced that most neuropsychiatrists in the US couldn't teach me the basics. Maybe a specialist at the Mayo Clinic could, but that's about it.
And look, a neuropsychiatrist is the real deal—standard psychiatrists honestly don't have a clue. A neurologist will run an MRI or an EMG, tell you everything looks "within normal limits," and leave you hanging. By the time I show up with these symptoms, I need someone to actually look at five pages of lab work—especially the immunological stuff—just to have a real conversation. It's exhausting.
None of this is made up; there are plenty of PubMed studies backing this stuff.
For instance, ALA is used as a treatment for neuropathy in Germany, but nobody here in the States is ever going to mention it to you.
That’s why Reddit is basically my doctor and nootropic expert, along with Joseph Mercola, Dr. Berg, Andrew Huberman, Rhonda Patrick, and even Joe Rogan. XDD