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JOYCE C. WALDRON wrote: > o What about nutrition and PD? I was told by my doctor to eat 7 times as many carbohydrates as protein. (I've lost 20+ lbs but still have a good appetite.) > o What about extra vitamins? Dear Joyce, Your experience has certainly given you good reason to be frustrated! With regard to PD and protein, main points to keep in mind are: 1) Protein interferes with Sinemet absorption. It's recommended to take your Sinemet 30-60 minutes before eating, so it has a chance to be fully absorbed. 2) If protein continues to be a problem, a menu consisting of a ratio of 7:1 carbohydrates to protein has helped most people who try it. It allows a steady supply of protein throughout the day, without interfering with the Sinemet. Some people have such good results that they have cut down on their Sinement due to better absorption. A company, Hearty Balance, makes a canned supplement, and granola-type bars, that you can use to determine whether this plan will help you. You can find more information at: http://www.balancenutrition.com/ With regard to extra vitamins -- at your young age, you may not need supplements if your usual menus are well-balanced. However, the recommendations for calcium after age 50 are now 1200 mg per day, and that can be difficult to get from food if you cannot drink milk (due to protein). > Diskensis is my primary problem but I guess that's typical for my "stage"! If you experience dyskinesias, has your doctor checked your medication schedule? It could be that you are over-medicated. Finally, if you live in the Dallas area, I will speak at the DAPS meetin on November 10, and will answer questions regarding protein and Sinemet at that time. 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