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Kathy Barras wrote:

> Mom was diagnosed with PD 5 months ago.  She slowly titrated on
> carbidopa/levadopa 10/100 to 4 times per day (the only prescription drug
> other than zocor for cholesterol).  Her doctor, an internal
> medicine/geriatrics specialist, added vitamins D,E,B-complex, calcium
> and 2 cans of ensure per day.  I have seen much improvement in her
> condition in the last 5 months.
>
> Should mom see a movement disorder specialist or neurologist at this
> time or should she wait to see how the PD progresses?  Her symptoms are
> slowness, stiffness, PD mask, soft voice, confusion, memory loss, small
> handwriting, and occasional tremors.

Dear Kathy,When does she take the Ensure? If she's taking her Sinemet 30
minutes before meals, then Ensure between meals, the protein in the Ensure
could interfere with her Sinemet absorption, adding to the stiffness.

Best regards,
Kathrynne


--
Kathrynne Holden, MS, RD
"Nutrition you can live with!"
Medical nutrition therapy
Tel: 970-493-6532 // Fax: 970-493-6538