What could cause a "pins and needles" feeling in the hands at night?

Peripheral neuropathy is often linked to blood sugar issues, prediabetes, or insulin resistance. To address this, modify your diet by eliminating sugar and refined carbohydrates, adopting a keto diet, and practicing intermittent fasting. Additionally, take Benfotiamine, a B vitamin, and alpha-lipoic acid to help correct the condition.

If you're already following a keto diet and still experience symptoms like pins and needles, consider evaluating your calcium levels. Hypercalcemia, or excess calcium, can also cause similar symptoms, though it is a rarer cause.