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Kathrynne Holden, MS,RD 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. > > 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, Thank you for the reply. Mom takes her Sinemet WITH each meal and 1 in the evening. She does drink the Ensure between meals. Today her doctor told me that I could change med times and try to adjust them the best I can. She is doing much better with the 4 Sinemet daily. Perhaps by taking the Sinemet 30 minutes prior to her meal she may be able to reduce her Sinemet down to 3 per day. As far as the Ensure goes, what would be the optimal time for her "snack"? TIA, Kathy Barras cg for mom, Florence, 73/Sept 97