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Bob,
I'm new to this list, but not to PD. 50/12
I really think Ernie Peters advice is right.
Of the items mentioned STRESS  is the most important. I know we all have it
 What really helps me is to change my environment. I live in Florida but I
leave for Wisconsin in two weeks
Also, did you change your diet?
You are on the same dose I am on minus the Eldepryl, I felt much better when
iwent off eldepryl (nasty stuff)
You guys in the U K  have all the latest drugs available to you, forget the
pallidotomy.
Lastly
God Bless.