160 pages on how peripheral nerve tissue actually works — and what the research supports doing about it. I spent twenty years operating on peripheral nerves; more than 3,000 procedures. A great many of the people on my table arrived after years of being told to watch and wait. By the time I opened the arm, the nerve had usually changed in ways that waiting had not helped. Surgery solves a mechanical problem, and it solves it well. It does not improve the blood supply feeding a nerve, lower the inflammation around it, or supply the raw material to rebuild myelin. Recognizing the limits of what I could accomplish with an incision is what led to this book. Half of it is the biology — why nerve tissue behaves differently from every other tissue in the body, and why symptoms persist. Half of it is the protocol: nutrition, movement and recovery, and targeted supplementation, each laid out so you can act on it. A three-pillar protocol with a one-page quick reference summary Individual scientific reviews of 12 nerve-supporting ingredients — including where the evidence runs out A drug-interaction appendix written for people over 50 on prescription medication A framework for evaluating any nerve supplement, including mine A plain-language glossary and 16 cited primary sources Educational content only. Not medical advice, and not a replacement for it.