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Stan
"Off" could be interaction with Sinemet and surgical drugs still in your
body.....

Your body chemistry is disturbed by the surgery and will take a couple of
weeks to get back to the "old routine".....hence, juggling meds will probably
be a daily affair.       I have always had to reduce Sinemet after surgery
for a couple of weeks...offs are longer, lows are lower and highs are lower
for a while.

Rita