Brief Answer:
Avoid smoking and also alcohol if any; follow as advised

Detailed Answer:
Hello.
Welcome to HCM.
This is Dr. Swarnava Dattagupta answering your query.

I have gone through your query and i understand your concern.

If a patient with such symptoms come to me, i would suspect alcohol and/or smoking, diabetes or dehydration and/or vitamin and mineral deficiencies. Sometimes radicular pain also presents with such symptoms. I would also want to rule out peripheral vascular diseases etc.

So i would suggest the following to such patients like stopping alcohol and smoking, getting a blood sugar( you have done it and it came normal as per your history)and blood for sodium, potassium, magnesium and calcium tested.

Taking lots of oral fluid and multivitamins and minerals tablets would be my suggestion.

An XRay lumbosacral spine for radicular pain and nerve entrapment and a Doppler study for vascular status would be also suggested.

I would advise to continue neurokind plus and do ankle and knee physiotherapy.

You can consult your treating doctor about the above. And you should stop smoking. It has not only this, but many other health hazards too.

Hope this was helpful.
Regards.

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Brief Answer:
it is good to stop smoking completely

Detailed Answer:
Hello again.
Yes it will be better if you can stop smoking a single cigarette a day also. Even a single cigarette is injurious. Smoking is a very grave addiction.
And it is good that you dont take alcohol.

Wish you good health.
Regards.

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