Taken together, these studies indicate that dietary weight loss can stop the progression of neuropathy, if not lead to mild, but very different improvements. Yes, peripheral neuropathy can sometimes disappear, but this is not universal. Many factors can influence the duration of peripheral neuropathy. The condition that causes peripheral neuropathy is an important factor in determining whether it will go away or not, as are the treatments that receipts.
It's also important to remember that what works for one person may not work for another, because peripheral neuropathy can occur very differently from person to person. Since the first report of peroneal neuropathy following massive weight loss, several types of neuropathies related to weight loss have been reported. Neurological complications that occur after weight loss, such as encephalopathy, myelopathy and polyneuropathy, have been studied primarily through bariatric surgery.1 A recent study found that the incidence of polyneuropathy is around 6%. We present the two cases of polyneuropathy that developed acutely afterwards.
of rapid and massive weight loss due to dietary restrictions and exercise. Lifestyle choices may play a role in preventing peripheral neuropathy. You can reduce your risk of many of these conditions by avoiding alcohol, correcting vitamin deficiencies, following a healthy diet, losing weight, avoiding toxins, and exercising regularly. If you have kidney disease, diabetes, or another chronic condition, it's important to work with your healthcare provider to manage your condition, which can prevent or delay the onset of peripheral neuropathy.
Diet alone may not cure your neuropathy. However, you can alleviate your condition by taking the following nutritional precautions. The reversibility of peripheral neuropathy depends on its cause, severity, and how early treatment is started. In mild cases or those caused by controllable factors, such as vitamin deficiencies or medication use, the initial symptoms of peripheral neuropathy may improve or even disappear if the underlying cause is addressed.
However, in more advanced cases or when nerve damage is severe, recovery may be partial and require long-term interventions. Strengths include the comprehensive phenotyping of metabolism and neuropathy before and after a successful dietary intervention to lose weight. Non-pharmacological strategies, such as proper foot care, appropriate footwear, weight control and physical therapy, can be an effective starting point for treating peripheral neuropathy of the feet. As my patients lose excess weight, their bodies need less insulin to control blood sugar, which can reduce the need for medication and better control diabetes.
Although the exact pathogenesis of polyneuropathy after weight loss has not yet been clarified, nutritional deficiency can induce the immune mechanisms of neuropathy2 and several factors may be involved, such as nutritional and metabolic disorders. In addition, studies are needed to compare the effectiveness of dietary weight loss, surgical weight loss, and exercise so that doctors can focus on the best intervention to prevent neuropathy. Although the parameters of the IENFD and nerve conduction studies did not change after weight loss with diet, the MNSI questionnaire, two subdomains of neuroquality of life, and the QST cold showed improvement after 2 years. The most deficient nutrients after weight loss after bariatric surgery are thiamine, cyanocobalamin, vitamins E and D, and copper.
No study investigated the effects of significant weight loss through diet on neuropathy outcomes in populations without diabetes, nor did the best quantitative measure of small fiber nerve injury, intraepidermal nerve fiber density (IENFD), be used. as a primary outcome. However, more definitive studies comparing the effects of exercise and different weight-loss strategies (dietary, surgical, and drug-induced) are needed before solid clinical recommendations can be made in favor of one of these interventions. Other possible interventions to improve multiple metabolic risk factors and neuropathy outcomes include weight loss through surgery, drug-induced weight loss, and exercise.
In addition to malnutrition, a lower body mass index (BMI) after surgery and rapid weight loss are also risk factors for neuropathy after bariatric surgery. And in extreme cases, surgery can be used to destroy nerves or repair injuries that cause pain and neuropathic symptoms.
