My experience has been the same. Most often patients are undertreated when they first come to see me on referral from a non-neurologist. There are no studies available which prove that L-dopa is toxic - this is pure speculation fed by the marketing efforts of the drug companies competing with levodopa. Jorge Romero ----- Original Message ----- From: "Chris van der Linden" <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, February 08, 2000 4:27 PM Subject: Re: Low Dose Dopa > As a neurologist and movement disorder specialist, treating 100's of > Parkinson patients, I fully agree. Most patients who are send to me for DBS > treatment are not well pharmacologically controlled and in many patients I > can adjust (read: increase levodopa) the medication, so that the quality off > life improves and surgery is (not yet) necessary or warranted. > > Chris van der Linden, M.D. > St. Lucas Hospital Ghent > Belgium >