Stan R. Houston wrote: > Have a problem and need your feedback. > Last Friday, I had a ruptured disk in my lower back repaired. Starting Friday when I came out of the anesthetic, I've > experienced one lengthy, agonizing "off" period each day. > The movements are so strong, I'm concerned about damaging the incision in my > spine, or perhaps hurting my back muscles. Anyone have any ideas why my meds > would suddenly go out for two to fours hours straight every day? (I'm taking > 1 25/100 Sinemet every two hours and 1 50/200 Sinemet CR 4 times a day) Meds > worked great using this schedule before the operation. Dear Stan, I don't know why the operation would suddenly affect a med schedule that had been working well. However, surgeries do seem to affect PD in a variety of ways. I think it would be worth your while to experiment with protein adjustment. I'd order some Hearty Balance products, and live with that for a couple of weeks and see if it makes any difference. If the OFF times shorten or become less severe (or, preferably, stop!) then you can assume that protein suddenly became a problem for you. If you want to try a 7:1 product right away, you can make a good shake with Ensure (much easier to find): Fruit Smoothie with Ensure 8 oz vanilla Ensure (NOT Ensure Plus) 1 cup fresh or frozen strawberries (or other fruit) 2 TB sugar Place all ingredients in blender, blend till smooth. One serving. Ratio 7:1 Also -- Kellogg's Nutri-grain bars are much cheaper than Hearty Balance cranberry bars, have a ratio of about 9:1. My very best regards, Kathrynne -- Kathrynne Holden, MS, RD Editor-in-Chief, "Spotlight on Food--nutrition news for people 60-plus" http://www.fortnet.org/~fivstar and NUTRITION TOPICS copy-ready handouts http://www.dietetics.com/class/fivstar/ Tel: 970-493-6532 Fax: 970-493-6538