Four things people try for burning feet. None of them reach the nerve. Tighter blood sugar. Worth doing, and it genuinely reduces damage from the sugar side. But it does not put back a nutrient your medication is drawing out. You end up managing one cause properly while the other carries on, which is why the numbers can look good at every review while the feet get worse. Nerve creams. They numb the skin. The problem is a layer underneath it. Pain medication. It quiets the signal travelling to your brain and does nothing about why the signal is being sent. Chemist B12. Cyanocobalamin, the cheap synthetic form, swallowed into a stomach that after fifty barely absorbs B12. Or a hundred micrograms buried in a multivitamin beside twelve other things. It passes through you. Here is what the signal actually is. Every nerve running into your foot is wrapped in a protective coating, and your body rebuilds that coating every single day out of vitamin B12. As the coating wears thin, the bare nerve starts misfiring. It sends signals when nothing is touching you, which is the burning at three in the morning, the tingling, the pins and needles. And long term metformin lowers B12. It is printed in the drug’s own information leaflet as a common side effect, and the risk climbs with dose and duration. The burning is the stage that gets attention, because it hurts. The numbness that follows feels like nothing, which is exactly why it gets ignored, and it is the one that matters more. So what does reach the nerve. Methylcobalamin, the active already converted form of B12. It arrives ready for the nerve to use the moment it gets there, with no conversion needed, which matters because that conversion weakens with age and weakens further on the very metformin that lowered your B12 to begin with. It gives the coating the raw material to rebuild. And it goes under the tongue rather than down into the stomach, so it absorbs straight into the bloodstream. Stedman uses pure active methylcobalamin at a full 5,000mcg, never the cheap synthetic form, delivered sublingually, with the full B complex beside it. B6 settles the misfiring that wakes you at night. B1 and B3 fuel the repair and open the small vessels feeding the nerve. Folate finishes what B12 on its own always leaves halfway. One dropper a day, alongside the metformin you never stop. It replaces nothing you have been prescribed. What to expect, honestly. Nothing in the first week, which is where most people give up. The nights usually start changing around week two or three, going quieter rather than stopping. Feeling returns more slowly, in patches, over the following months. Not everyone, and rarely completely. If B12 is not what is driving your symptoms, this will not change them. But if you are over fifty, on metformin, and nobody has ever tested your B12, it is likely enough to be worth three months of finding out. 90 day money back guarantee, empty bottles included. The point is not to quiet the alarm faster. It is to feed the nerve setting it off.
Not enough history yet to show a trend.