The Neuropathy Companion Facebook ad: “Support healthy nerves and circulation every day”

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My podiatrist said three sentences to me in a row in September, and I want to tell them to you in his words, because I would not know how to tell them in mine. My name is Frank. I am seventy. I retired from the U.S. Postal Service three years ago, after forty-one years carrying mail in the same county in eastern Kentucky. I have been a Type 2 diabetic for eighteen years. I have been on metformin for all eighteen of them. I have been on Gabapentin for the last six. I see a podiatrist named Dr. Reese twice a year. I have been going to him for nine years. He is a careful man, somewhere in his fifties, and his practice is in a strip mall about thirty minutes from our town. He takes Medicare. He runs ahead of schedule. He uses the same nurse he has used for nine years. I want to tell you what he said to me last September. I had gone in for my regular six-month check. He had me take my shoes off. He looked at my feet the way he always looks at them — top, bottom, between each toe, the calluses, the pulses. He pressed a small instrument to a few places on the bottom of each foot and asked me to tell him when I felt it. He sat back on his stool. He said: Frank, your feet look the same as they did six months ago. The numbness is the same. The tingling you described in May is the same. The Gabapentin has held the ground, but it has not given any ground back. I told him I thought that was about right. He said: I am going to say three things to you and I do not want you to do anything about them until you have read for a few weeks and called your pharmacist. Will you let me say them? I told him I would. He said: First — the pill you take for your diabetes does what it is supposed to do for your blood sugar. It is not, and was not designed to be, a complete solution for what is happening in the small blood vessels feeding your feet. Those vessels need things the pill is not in the business of giving them. There is a long, careful, slowly built body of research on what those things are. Most of it is about the active, body-ready forms of certain B vitamins. I told him I had not heard a doctor say that to me before. He said: That is the second thing. Most of us were not trained to say it. The training is to manage the numbers and manage the pain. There is a quieter conversation that did not used to be standard, and I will tell you who is having it — it is the people who treat feet for a living, and the cardiologists who treat the small vessels for a living, and a few endocrinologists who have read more widely than they were trained. I asked him what I was supposed to do with that. He said — and this was the third thing — Frank, I am not going to tell you what to take and I am not going to write you a prescription for it because what I am about to describe is not a prescription. I am going to give you three things to look for on a label. I want you to read about each one of them carefully before you do anything. And I want you to call your pharmacist before you add it. Will you do that? I told him I would. He said: Look for pharmaceutical-grade L-methylfolate, not ordinary folic acid. Look for methylcobalamin, not cyanocobalamin. Look for a small company that puts the dose on the label and does not hide it in a proprietary blend. He said: And read for two or three weeks before you do anything. I have given this list to my patients for the better part of nine years. The patients who do well with it are the ones who read first. He wrote those three things on a prescription pad and tore the page off and handed it to me. I drove home that afternoon thinking about Dr. Reese. I have been driving home from his office for nine years. He has never, in those nine years, told me to read about anything. He has prescribed two pairs of orthotic inserts and one antifungal cream and the topical lidocaine I sometimes use on a bad night. He is not a man who chases ideas. He is a man who looks at feet for a living. That his three sentences came from him meant something. I started reading the following Monday. I am the kind of man who carried mail in the rain for forty-one years. I do not skim. I read carefully. I read about the methylation cycle. I read about why ordinary folic acid does not work very well for a meaningful percentage of older adults, because their bodies cannot convert it efficiently. I read about how that percentage is even higher in people who have been diabetic for a long time. I read about the small blood vessels Dr. Reese had mentioned, and about how those vessels respond to a body that has the right form of folate doing its work. None of what I read was a fireworks story. It was the opposite. It was the kind of long, slow, careful conversation in the research literature that I trust. I went looking for what Dr. Reese had described. I found a small company called Pre-DX, run by a man named Joe Hunter, out of Southeast Healthcare Consultants. The label had what Dr. Reese had told me to look for. Pharmaceutical-grade L-methylfolate. Methylcobalamin. P-5-P, which is the active form of B6. Benfotiamine. Alpha lipoic acid. No proprietary blends. The doses were on the panel. I called my pharmacist before I ordered. His name is Doug. I have used him for thirty-one years. I told Doug what Dr. Reese had said. I told Doug what was on the label. I told Doug what I was taking — the metformin, the Gabapentin, a low-dose blood pressure pill I have been on for eleven years. Doug pulled up my profile. He told me he had no concerns at the dose on the label. He told me to keep taking what I was taking. He told me to mention it to Dr. Reese at my next visit and to my primary care doctor at my annual. He told me, before he got off the phone, that he had been seeing the small Pre-DX bottle come into his pharmacy from one or two customers for the last several months, and that he was glad I had called him before I added it. I want to say something to you now, plainly. If you are on metformin, or Gabapentin, or Lyrica, or insulin, or any blood pressure medication, or anything for cholesterol — please call your pharmacist before you add anything new. I am asking. Not pushing. Asking. Two minutes on the phone. They have your chart in front of them. I have written you a letter. There is a difference. I started Pre-DX on a Monday in early October. The first three weeks I felt nothing in particular. Bodies are different. Some people notice within the first week. Some take much longer. Some don't notice much at all. Dr. Reese had told me to expect somewhere between sixty and ninety days for the early signs and several months for the meaningful change. I was prepared. What I noticed, I noticed in the order it happened. Around week six, my feet at night went quieter. Not silent. Quieter. The three a.m. walks I had been doing for the better part of two years began to be one a.m. walks two nights a week, and then one night a week, and then a week without one. Around week eleven, I noticed the back porch. We have a long porch on the back of our house. I had been sitting on it less and less for two years because by the time we finished supper my feet were done. In December I was on the back porch with a small heater and a book three evenings a week. My wife noticed. She did not say anything. She is a quiet woman. I went back to see Dr. Reese in March, the way I always do. He had me take my shoes off. He looked. He did the small instrument on the bottoms of my feet. He said: Frank, your feet are quieter today than they were in September. I told him I knew. He said: Are you doing what we talked about? I told him I was. He said: Good. Keep doing it. The body responds when you give it what it has been asking for. Come back in six months. He shook my hand. I drove home that afternoon thinking about a man who had said three sentences to me in September on the strength of nine years of looking at my feet. I want to be careful with you about what I am telling you. I am not telling you Pre-DX did any of that on its own. I had also been walking after dinner the way I used to. I had been protecting my sleep. I had been eating the way my wife had quietly started cooking. There were several things changing at once, the way there are when a man finally takes a podiatrist's three sentences seriously. All I am telling you is I added one small thing to a long list of small things I was newly doing, kept everything else exactly the same, and a stretch of months followed that was qualitatively different from the six years that had preceded it. That is the honest version. I will not give you a cleaner one. Here is how I think about Pre-DX now, in the words I would actually use. It is something the body uses. It is what Dr. Reese had been describing to his patients for nine years, in the form he had been describing it. It is not a prescription. It is not a substitute for one. It is in addition to whatever else you are doing. Please call your pharmacist. Please mention it to your doctor. I have written you a letter. I am not the man with your chart. Your pharmacist is. — Frank P.S. Dr. Reese's three things to look for on the label, again, because he said them and I am only repeating them: pharmaceutical-grade L-methylfolate, methylcobalamin, no proprietary blends. The Pre-DX label has all three. Joe Hunter, who runs the company, runs it out of Southeast Healthcare Consultants. They ship from their own pharmacy. No middleman. P.P.S. One capsule a day. In the morning. With a glass of water. I take mine with my first cup of coffee at five-thirty. That is the rhythm of my morning. My wife and I have earned a simple one. P.P.P.S. Call your pharmacist. Please. I am asking. They have your whole chart. I have written you a letter. There is a difference, and the difference matters. P.P.P.P.S. The sentence Dr. Reese said to me about the patients who do well being the ones who read first has been with me every day since. I think about it on my back porch in the evening. I think about it when I walk through our front door at the end of the day. I do not know what your equivalent of Dr. Reese is. Maybe it is a podiatrist of your own. Maybe it is a cardiologist. Maybe it is a neighbor who has been on the same pills you have been on. I hope you have one. I hope they say three sentences to you the way Dr. Reese said three sentences to me. I hope you read for two weeks before you do anything. I hope, in a year, you are sitting on your own back porch in March with a book and a small heater and the loudest thing in your body is the bird feeder. I hope that for you.

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pre-dx.com

Support healthy nerves and circulation every day

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