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Hi, Tom - Welcome to the list. My husband was diagnosed at age 37. You'll find many young onset PWP (people with Parkinson's) here on the list, so you've come to the right place. You didn't say where you live or whether you are seeing a movement disorder specialist rather than a general neurologist. If you have access to one, I'd strongly recommend it. If you're not sure where the nearest movement disorder specialist is, someone on the list is sure to be able to help. Now for my unsolicited, non-medical opinion: The dosages of Sinemet sound very heavy for someone so newly diagnosed. It makes me wonder if the shaking you describe is truly PD tremor or if it could be dyskinesia caused by too much medication. You'll find we're fairly free with advice here on the list, and of course you're free to ignore it, and should always consider the source. However, if you hear the same thing from several list members, it might be worth thinking about. The pain in your buttocks could also be from dystonia, another side effect of medication. The other bit of advice I have is to recommend that you look for a young-onset support group in your area. If you don't live near such a meeting, this list is an excellent source of support. In fact, it's a gigantic support group of about 1800 people. Glad you could join us. Margie Swindler cg for Dick, 54/17 << In Oct. of 97 at age 36, I first noticed my left foot shaking while on the operating table for corporal tunnel surgery on my left hand. The shaking was slight, so I ignored it for a few months. I was diagnosed with Parkinson in Feb. 98. at age 36. Started taking Elderprel. Went for second opinion and switched doctors. The new doctor took me off Elderprel to try various other drugs, Amanatine, Mirapex, Sinemet CR. I currently take: 7am: .5 mg Mirapex, 1.5 pills of Sinemet CR 50-200, Vit. C & E 11am: .5 mg Mirapex, 1.5 pills of Sinemet CR 50-200, Vit. C & E 4pm: 1.5 pills of Sinemet CR 50-200 10pm: 1 mg Mirapex, 1.5 pills of Sinemet CR 50-200, Vit. C & E My left foot/leg shakes the most, my left hand is starting to shake. But my pain is my left buttocks, which can really hurt. So much so that I would rather stand then sit. I have seen a physical therapist with no luck and a massage therapist, also no luck in reliving the pain. >>