MS HILARY S ZUNIN <[log in to unmask]> CONGRATULATIONS! You were very wise to have done so much already. Keep the status of not really knowing you have Pd, just a health professional's guess, as long as you can. I rushed to diagnosis and treatment and now regret it - probably could have held out for another year or more, but "what did I know". Your most important consideration is Long Term Care Insurance, if you are a believer in insurance as an important risk reducing financial advantage. As soon as you are diagnosed you will probably join the large group of uninsurables as I did - missed by less than one year. Now of course I rationalize by saying I don't really believe in insurance anyway, it's too expensive, I won't need it, I'll just save up my money. You must be very knowledgeable to have selected a Long Term Care Policy from among the confusing mess offered. Finally, did you consider a Living Trust to better manage your future financial and health concerns and avoid probate? ***** Concerning possible medications and when to start: {Based on my own experience and that of a few others who have commented on this List} If you can tolerate the symptoms, do NOT begin Sinemet until absolutely necessary - or any of the other popular additional meds such as Eldepryl or Permax. There is no question that if you have PD the dopamine in Sinemet will improve the symptoms, but along with it you will have the side effects which are considerable. I honestly believe that my symptoms increased markedly after I started on the medications, but now I have no way of knowing how the PD would have progressed without the meds. Now I am having great difficulty balancing the meds to provide symptomatic relief and at the same time reduce edema, orthostatic hypotension, ups and downs of energy and alertness [at this moment in the med cycle I am "up", perhaps at your misfortune considering my verbosity] and other side effects. Wishing you a very successful future as a Parkie who got off to an excellent beginning. Fred, just another parkie