words by Dr.Kathrynne Holden

Dear Teo,

Your faithful exercise regime over twenty years has stood you in good stead – and is still doing so. Keeping the muscles strong, the bones dense, and the balance and posture supple and erect allows for good gait, better and deeper breathing, and more stamina. Very few folks of your age, even those who don’t have PD, are able to do so well, because most of us haven’t practiced such a good and healthful regime all our lives. Advancing age does slow us all, however, sooner or later. In your case, much later than for most people. And, PD itself gradually progresses, and this adds to the slowing and tiredness. You are doing most remarkably well in managing your PD symptoms; however, it nevertheless may be time to discuss medications with your neurologist. This is outside my scope of practice, you must talk with your doctor regarding type, amount, and/or timing of medications. It is very possible that a slight change in the amount of Sinemet might be just what you need. Write back and let us know._________________Best regards, Kathrynne Holden, MS, RD --