Concerns›Bones, joints & muscles

Numbness and tingling in hands and feet

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Bottom line

For numbness and tingling in hands and feet, start with B-complex (high-dose B12), Alpha-lipoic acid (ALA), Iron. The first one to look at is B-complex (high-dose B12) — 1 B-complex capsule, plus 500–1,500 mcg of B12 (methylcobalamin) for numbness or nerve pain; After breakfast or lunch. At night it can disturb sleep.

Supplements ranked for this concern

AWell researchedBSome evidenceCLimited evidence
#SupplementEvidenceWhenHow muchCaution
1 B-complex (high-dose B12)
Low B12 can cause numbness in the hands and feet and muscle aches. High-dose methylcobalamin may help ease nerve pain and tingling.
B After breakfast or lunch. At night it can disturb sleep. 1 B-complex capsule, plus 500–1,500 mcg of B12 (methylcobalamin) for numbness or nerve pain Keep B6 at 100 mg a day or less, counting all products. If you get upper stomach pain, take it right after a meal. Compare products
2 Alpha-lipoic acid (ALA)
Used as a medicine for diabetic nerve damage in some countries. It may help ease numbness and tingling in the hands and feet.
A On an empty stomach 30 minutes to 1 hour before a meal, apart from other supplements 100–200 mg for maintenance, 600 mg if you have numbness If you take diabetes medicine or insulin, your blood sugar may drop too low. Start with a low dose. Details
3 Iron
Your body needs it to make dopamine, so it's the first thing to check for restless legs, especially in women.
B On an empty stomach (before breakfast or at bedtime). If it upsets your stomach, take it right after a meal. Keep it apart from coffee and tea. 12–20 mg a day, upper limit about 40 mg (if you've been diagnosed with anemia, follow your doctor's prescription) It can cause constipation or heartburn. Don't take high doses for a long time on a guess. Confirm with a blood test. Compare products
4 Magnesium
Relaxes nerves and muscles. Many people find it eases restless legs, tingling hands and feet, and eyelid twitches.
B After dinner. If you take 2+ capsules, split them up. 200–400 mg a day (a product that also contains B6 is a good choice) If you have kidney disease, talk to your doctor first. Compare products
5 Vitamin D
In people who were low, taking it was linked to about 62% fewer restless legs symptoms.
B Right after breakfast or lunch Start at 4,000 IU for 3–6 months → maintain at 1,000–2,000 IU Keep your total, including multivitamins, at 4,000 IU a day or less. Compare products
6 Pycnogenol (pine bark extract)
Supports circulation and may help ease cold, numb hands and feet and nerve pain.
C With or without food. If you take 2 capsules, split them between morning and evening. 100–200 mg a day If you take a blood thinner or blood pressure medicine, talk to your doctor. Details
7 Omega-3
Helps protect blood vessels and nerves and lower inflammation. A useful add-on for managing numbness.
C Right after a meal 1,000–2,000 mg of EPA+DHA a day If you take a blood thinner, talk to your doctor first. Compare products

Medications to watch out for

If you take any medication, talk to your doctor or pharmacist before starting.

Diabetes drugs and insulinAlpha-lipoic acidMay lower blood sugar further and cause low blood sugar. Start low and check your blood sugar.
Blood thinners such as warfarin (Coumadin) and aspirinOmega-3 · PycnogenolMay raise bleeding risk. Talk to your doctor.
Blood pressure medicineAlpha-lipoic acid · Pycnogenol · Magnesium · Omega-3May lower blood pressure further and make you dizzy.
Quinolone antibiotics (ciprofloxacin/Cipro, etc.) and tetracyclines (doxycycline, etc.)Iron · MagnesiumThey block each other's absorption. Space them 2–4 hours apart.
Being treated for kidney diseaseMagnesium · Vitamin DThey may build up in your body or strain the kidneys. Talk to your doctor before taking them.

Before supplements: daily habits

  1. 01If numbness comes on suddenly on one side, or you feel weak, see a doctor right away instead of reaching for supplements.
  2. 02If you have diabetes, blood sugar control is the foundation of managing numbness. Check your feet every day.
  3. 03Iron and alpha-lipoic acid bind to each other. Take them at different times.
  4. 04If you have restless legs, cut back on caffeine and alcohol in the evening and try stretching your legs before bed.
  5. 05Add supplements one at a time and watch how your body responds for 2–4 weeks.

Product comparison

ProductFormPer servingCountCost per day
Vitamin B12 (Methylcobalamin) 2000 mcgBest value
Nutricost
Methylcobalamin (active) capsule1 capsule: B12 2,000 mcg240 Low Amazon →
Methyl B-12 1000 mcg Lozenges
NOW Foods
Methylcobalamin (active), dissolvable lozenge1 lozenge: B12 1,000 mcg (label 1–2)100 Low Amazon →
High Potency Vitamin B Complex 462mg
Nutricost
Regular B vitamins + methyl B121 capsule: B1 60, B2 75, B6 50 mg, B12 1,000 mcg120 Low Amazon →
Super B Vitamin B Complex Sustained Release
Bronson
Regular B vitamins, time-release tablet1 tablet: B1, B2, B6 50 mg each60 Average Amazon →
Coenzyme B-Complex with Methylfolate and B12
Country Life
Coenzyme (active) B1, B2, B6 + methyl and adenosyl B121 capsule: B1, B2, B6 25 mg each, B12 250 mcg (label 1–2 capsules)240 Average Amazon →
Active B-Complex with Methylfolate
Integrative Therapeutics
Active B2, B6, folate (Quatrefolic), B12 (methyl)1 capsule: B1, B2, B6 25 mg each, B12 500 mcg (label 1–2 capsules)60 Average Amazon →
B-Complex Plus
Pure Encapsulations
Active B2, B6, folate (Metafolin), B12 (methyl)1 capsule: B1 100, B2 12.7, B6 16.7 mg (label 1–2 capsules)120 High Amazon →
High Strength Super B-Complex (Methylated & Active)
Igennus
Active B2, B6, folate (5-MTHF), B12 (methyl), time-release tablet2 tablets: B1 40, B2 28, B6 40 mg, B12 1,800 mcg180 High Amazon →

Compare all B-complex (high-dose B12) products →

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