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Research also shows that with your microbiome , a relationship exists between Parkinson’s disease and improved gut health. In “Parkinson’s disease and bacteriophages as its overlooked contributors,” published in the journal Scientific Reports, George Tetz and his colleagues examined the viruses that live in the gut, as well as the role the microbiome may play in Parkinson’s disease. According to Parkinson.org, “this has sparked the idea that we might be able to improve the symptoms if we change the microbiome through diet or other ways. … These bacteria play a role in the processes that produce dopamine and affect the intestine’s ability to absorb.”
Like many aspects of Parkinson’s symptoms, the protein effect is highly variable. Some people do not experience it at all. Others are extremely sensitive to protein’s effect on medication absorption. This diet concern was presented at my local PD support group, and the group’s PD warriors and caregivers agreed almost unanimously with having experienced or witnessed the adverse effects.
It typically becomes more of an issue as PD progresses. The APDA suggests that if someone experiences the protein effect, two potential strategies might help. One is to refrain from eating protein during the day, eating it at night instead, when the medication’s effect is less critical. The second is to distribute protein intake evenly throughout the day so that medication absorption is enhanced during that time.
We Know That A High Protein Diet Can Affect Levodopa Absorption But What Does This Mean For People With Parkinsons Aug 27, 2019
Parkinson’s develops when cells in the brain stop working properly and are lost over time. These brain cells produce a chemical called dopamine. Symptoms start to appear when the brain can’t make enough dopamine to control movement properly.
Levodopa is an amino acid first discovered in the 1960s. Today, it is still one of the main drugs used to treat Parkinson’s symptoms at all stages of the condition. It works by replacing dopamine lost in the brain.
If Youve Already Been Diagnosed With Parkinsons The Health Of Your Gut Still Matters
Studies in mice have found that the composition of the gut microbiome significantly impacted motor symptoms . In the largest study of small intestinal bacterial overgrowth and Parkinson’s, researchers found SIBO was present in 25% of people diagnosed with Parkinson’s and independently predicted worse motor function .
Constipation- likely due to slowed gut motility in combination with gut dysbiosis and poor dietary habits – is a non-motor symptom that has been reported up to 20 years before a Parkinson’s diagnosis , and can significantly decrease the effectiveness of Parkinson’s medications.
What Is The Effect Of Dietary Protein On Levodopa In Patients With Parkinson Disease
Patients recently diagnosed with Parkinson disease are often confused regarding dietary protein, because they receive conflicting information.
Levodopa is absorbed via a large neutral amino acid active carrier system and therefore competes with dietary proteins for absorption; this effect is generally relatively small and is not clinically important for most patients, especially those with early or moderate disease. However, as the disease progresses and patients become more and more sensitive to maintaining relatively narrow therapeutic serum concentrations of levodopa, this effect can become clinically relevant. These patients usually have significant motor fluctuations. Some report that when they are “on” and they eat a meal including protein, they turn “off.” Others find that if they eat a protein meal, their next levodopa dose does not kick in. These patients may benefit from a low protein or a protein redistributed diet.
In a low-protein diet, the total daily protein intake is spread more or less equally over the day. In a protein-redistributed diet, individuals only consume food very low in protein during the day and then eat a high-protein meal in the evening. Unfortunately, these diets are difficult to follow; dietary consultation may be beneficial for patients in whom such diets are considered.
Whey Protein May Provide Benefits For Parkinsons Patients Finds Thai Pilot Study
Writing in the Journal of the Neurological Sciences?, the research team investigated the biochemical and clinical effects of whey protein in people with Parkinson’s disease – finding that supplementation at a level of 20 grams per day for six months has a significant beneficial effect on biomarkers of the disease, including higher levels of blood plasma reduced glutathione and lower homocysteine levels.
However, the team led by Piyaratana Tosukhowong from Chulalongkorn University, Thailand, also reported that no significant improvements in clinical outcome measures were seen in the pilot study.
“These biochemical changes may be beneficial for improving oxidative stress status, stimulating muscle protein synthesis, and reducing the risk for cognitive impairment and dementia,”? wrote Tosukhowong and colleagues.
“The clinically meaningful effect of the reduction of Hcy following the supplementation with whey protein should be evaluated in clinical trials with objective outcomes before adopting this approach in daily clinical practice,”? they added.
“Large-scale prospective randomized, double-blind clinical trials are needed to evaluate further the potential of whey protein supplementation as part of the holistic management of PD patients?.”
In total, 15 patients received the whey protein and 17 received a soy protein supplement that served as a control.
Dietitians Speech Pathologists And Mental Health Experts Can Help Too
Talking to a registered dietitian can help you make changes to your diet — for example, by learning how to use thickening liquids or soften solid foods.
If swallowing continues to be a problem, a speech-language pathologist may be able to help you find ways to make swallowing easier.
“A speech pathologist who is also a swallow therapist can do a swallow study, a test during which you try different foods and they monitor how you swallow using an X-ray machine,” Subramanian explains. “Food aspiration, or when food gets into your lungs, can be a problem with Parkinson’s disease, so the swallow study can identify problem foods and your doctors can recommend changes and diet modifications to make eating safer.”
Finally, as anxiety or depression are common in people with Parkinson’s and can suppress appetite, it’s important to recognize symptoms associated with these behavioral health conditions and seek out treatment if needed.
How Much Protein Should A Patient With Parkinsons Disease Intake
This is another fundamental question, the answer to which is pretty simple. To determine just how much protein your body requires, take the weight in pounds and divide it by 2. There you go now you have the intake of protein needed for you in grams. Meaning if you’re approximately 160 pounds, then your body requires around 80 grams of protein.
So here you go, from the importance of protein to the importance of proteins in Parkinson’s disease and all about its intake. When it comes to diseases like this that affect your day-to-day life, it is of utmost importance that you do your research. It gets your information from a reliable source.
If you are confused, regardless of that, it is best to contact your doctor. They will be able to inform you about everything regarding your disease as well as personalize it according to your needs. That is the safest and the most reliable option out there.
But Is Protein Good Or Bad For Patients With Parkinsons Disease
Protein is essential for people in general, but it is also necessary for people with Parkinson’s regardless of all the details that are going to be mentioned below. Such patients tend to be an easy target of protein malnutrition. Protein aids in different everyday bodily functions such as healing of wounds etc. So in that aspect, protein is essential for every human being.
However, when it comes to recently diagnosed patients with Parkinson’s disease , they are often confused about protein intake and how good or bad as well as the impact of it for them. And this is because there is a lot of contradicting information about it out there.
Well, it depends on how you distribute your protein intake throughout the day and what stage of Parkinson’s disease you are in. Well, to explain this Statement, we need to backtrack a little.
Too Much Protein May Kill Brain Cells As Parkinsons Progresses
NIH-funded study on key Parkinson’s gene finds a possible new target for monitoring the disease.
Scientists may have discovered how the most common genetic cause of Parkinson’s disease destroys brain cells and devastates many patients worldwide. The study was partially funded by the National Institutes of Health’s National Institute of Neurological Disorders and Stroke ; the results may help scientists develop new therapies.
“This may be a major discovery for Parkinson’s disease patients,” said Ted Dawson, M.D., Ph.D., director of the Johns Hopkins University Morris K. Udall Center of Excellence for Parkinson’s Disease, Baltimore, MD. Dr. Dawson and his wife Valina Dawson, Ph.D., director of the JHU Stem Cell and Neurodegeneration Programs at the Institute for Cell Engineering, led the study published in Cell.
The investigators found that mutations in a gene called leucine-rich repeat kinase 2 may increase the rate at which LRRK2 tags ribosomal proteins, which are key components of protein-making machinery inside cells. This could cause the machinery to manufacture too many proteins, leading to cell death.
“For nearly a decade, scientists have been trying to figure out how mutations in LRRK2 cause Parkinson’s disease,” said Margaret Sutherland, Ph.D., a program director at NINDS. “This study represents a clear link between LRRK2 and a pathogenic mechanism linked to Parkinson’s disease.”
NIH…Turning Discovery Into Health®
Foods Containing Nutrients That People May Be Deficient In
Some research suggests that people with Parkinson’s often have certain nutrient deficiencies, including deficiencies in iron, vitamin B1, vitamin C, zinc, and vitamin D.
The above study points out that some of these deficiencies may be associated with neuroinflammation and neurodegeneration, which are key factors in Parkinson’s.
Therefore, people with Parkinson’s may wish to consume more of the following foods.
Foods containing iron
The following foods are good sources of iron:
- certain fortified foods
How A Parkinsons Spoon Can Make Eating And Drinking Easier
Parkinson’s disease symptoms like tremor, joint stiffness, or difficulty swallowing may make eating certain foods challenging. Try consulting an occupational therapist, who can recommend assistive devices that will make eating and drinking easier, says Subramanian.
One option: Use a “Parkinson’s spoon.” This popular device is designed to make mealtime easier for people with Parkinson’s disease. There are different products available, but all of them are eating utensils that have been equipped with a special design or technology that helps stabilize them as you eat.
Eat Plenty Of Protein But Not With Levodopa Medications
If you’re taking a levodopa medication, your doctor may tell you to avoid protein when taking your meds. Both animal and plant protein can interfere with the absorption of levodopa medications.
But you should still eat plenty of protein. Just be strategic with the timing. “Don’t take levodopa medications with meals,” Dr. Gostkowski says. “It’s best to take it on an empty stomach — either 30 minutes before your meal or an hour after eating.”
If you get nauseous from the medication, eat a small amount of starchy food with it, such as crackers. Make sure whatever you eat with your medicine doesn’t have protein. “It’s a misunderstanding that people with Parkinson’s should avoid protein,” Dr. Gostkowski says. “You definitely need protein in your diet. Just don’t eat it when you’re taking your levodopa medication.”
What Are The Best Foods To Eat For Parkinsons Disease
If you had a healthy diet before being diagnosed with Parkinson’s, there’s a good chance you don’t have to overhaul your eating habits very much. But there are a few additional considerations you should be aware of.
The Parkinson’s Foundation recommends eating a diet that’s full of grains like brown rice and breads; vegetables; fruits, including berries and sliced apples; and lean protein like beans. Collectively, these foods provide vitamins, minerals, fiber, and complex carbohydrates to help you lower your intake of fat and maintain a healthy weight while giving your body the nutrients it needs.
“The Mediterranean Diet has become popular in Parkinson’s disease, and we recommend it to a lot of our patients,” Subramanian says. “We also recommend the Mind Diet, which is low in salt and is designed to improve brain function. Generally, it’s best to avoid processed foods and foods with artificial or simple sugars. Try to stay as much as you can in a whole-food and plant-based diet.”
In addition, following the guidelines established by the US Department of Agriculture MyPlate program will enable you to have a balanced diet that provides your body with the energy, protein, vitamins, minerals, and fiber it needs for good health. For example, eating meals rich in calcium, magnesium, and vitamins D and K can help strengthen bones, which is especially important given that Parkinson’s disease can increase your risk of bone-thinning.
- Certain nuts, like almonds
Why Is Protein Important For People With Parkinsons
People with Parkinson’s and seniors are at an increased risk for protein malnutrition. Not eating enough foods that contain protein is associated with slower wound healing, increased potential for falls, and greater risk of getting sick. Because seniors absorb protein differently, it is best to spread out protein intake consistently throughout the day.
What Is The Effect Of Dietary Protein On Carbidopa
The main medication for people with Parkinson’s is carbidopa-levodopa. In the body, protein is broken down into building blocks called amino acids. In order to absorb and use these amino acids, your body needs a carrier to transport them to the blood and the brain. Imagine that this carrier is like a bus. Because carbidopa-levodopa and amino acids have a similar shape, they use the same “bus” to transport them to the blood and brain. Since the “bus” has limited seats, when you eat protein and take carbidopa-levodopa in the same meal, the seats in the “bus” are full and less carbidopa-levodopa is absorbed. When less carbidopa-levodopa reaches the brain, your motor and non-motor symptoms can worsen.
What Exactly Is The 7:1 Diet And How Is It Planned
The 7:1 diet balances carbohydrate and protein, allowing for 7 parts carbohydrate for one part protein. Each meal and snack is planned in this ratio for best results. The total number of grams of protein from each of the food items to be eaten at the meal is calculated. This is determined by reading the food labels or consulting lists of protein content of foods. Based on the amount of protein at that meal, the number of grams of carbohydrate needed is calculated. For example, if 10 grams of protein is included at breakfast, 7 times that amount or 70 grams of carbohydrate needs to be included at breakfast as well.
Protein is found in a wide variety of foods. Foods highest in protein include milk and other dairy products and meats . But even starchy foods such as breads, dried beans or peas, grains and cereals have protein which needs to be accounted for. They are, however, relatively high in carbohydrate.
Foods high in carbohydrate and low in protein include fruits and juices, sugar and syrups, sorbet and sherberts, soda and other sweetened beverages. These can be added to your meals to help shift the balance to 7:1. A rule of thumb is to keep meat and dairy portions small and fruit/juice and starch servings large to help improve your ratio.
How Does Parkinsons Disease Change The Way You Eat
If you’ve been diagnosed with Parkinson’s disease, you may have noticed some changes in your appetite and eating habits, says Dr. Subramanian.
For example, some of your prescription medications may work best on an empty stomach, but they may also cause nausea in some people when taken without food.
“We advise people to take their medication about an hour before meals, if possible, to avoid any protein interaction,” Subramanian says. Eating protein-rich foods like meat, fish, eggs, dairy products, nuts, and beans too close to the time you take medications can interfere with how the body processes some medications prescribed to treat Parkinson’s disease, which may cause them to work less quickly or less effectively.
If you experience nausea after taking your medication on an empty stomach, your doctor may recommend eating a small, light snack like crackers or applesauce before taking your pills.
Subramanian also notes that loss of appetite and subsequent weight loss are a major concern for people with Parkinson’s disease. This may be caused by symptoms such as difficulty swallowing, decreased ability to taste or smell, nausea side effects from medications, or movement problems that make it difficult to eat.
To address these issues, the Parkinson’s Foundation recommends:
So What Does Nutrition Have To Do With Parkinsons
1. The neurotransmitter dopamine is made in the body from amino acids which are the building blocks of protein. Every time we eat a protein rich food we take in protein, which the body breaks down into its component amino acids. Two amino acids are converted in the body into L-Dopa, which is then converted into dopamine in the brain.
2. Nutrient co-factors are required for each stage of this conversion process, so deficiencies of these may reduce dopamine production.
3. L-dopa medication competes for absorption with dietary amino acids, therefore the timing of taking L-dopa and the eating of protein needs to be managed for optimal absorption and effectiveness of the drug and the reduction of side-effects.
Therefore, the nutritional therapy approach to Parkinson’s includes:
1. Supporting dopamine production by ensuring adequate precursors and co-factors
2. Considering drug-nutrient interactions to enhance effectiveness and reduce side-effects
3. Optimising nutritional status and addressing co-morbidities . These co-morbidities include constipation, depression, fatigue, and insomnia.
Foods That Naturally Increase The Dopamine Level
Dopamine is the chemical in our brain that plays a major role in our memory, balancing mood, regulating cognition, attention, and learning. For Parkinson’s patients, there is a deficiency of dopamine. Therefore the main medicine used for this treatment is levodopa which forms dopamine after crossing the blood-brain barrier.
There are few foods that also help to boost the dopamine level in the brain. Needless to say, these foods draw special attention to Parkinson’s patient diet. Try to include these in your daily diet.
Table 7: Simple Indian foods that improve dopamine level naturally
|1-2 bananas, as a part of meal or in between meal|
NOTE- These foods generally interfere with the absorption of medicine levodopa. Therefore try to keep at least a gap of an hour before taking levodopa.
Constipation And Hydration In Parkinsons Disease
As Parkinson’s disease can cause constipation, the Parkinson’s Foundation recommends a diet featuring 20 to 25 grams of daily fiber to maintain bowel health.
“It’s really important for overall health to keep bowels moving,” Subramanian says. “We recommend a diet with a lot of vegetables and as much fiber as you can take. Foods that are high in prebiotics, including fermented foods like sauerkraut and kimchee, can also help.”
Some Parkinson’s disease medications don’t work as well when taken with fermented foods, however, so check with your doctor before incorporating them into your diet.
Proper hydration is also important for everyone, including people who have Parkinson’s disease. Try to drink six to eight glasses of water a day and take your medications with a full glass of water, the Parkinson’s Foundation notes. It may help your body break down the medication more efficiently.
“Hydration helps with blood pressure and constipation,” Subramanian notes. “We recommend our Parkinson’s patients drink 40 ounces of water a day. That’s just water, not coffee or tea or other drinks. This can also help improve digestion.”
If drinking water leads to urinary urgency, try eating foods with a high water content like celery, butternut squash, grapefruit, strawberries, and watermelon instead.
Foods For Aging Adults With Parkinsons To Avoid
Diet and nutrition play a big role in boosting general health in seniors with Parkinson’s. Although there isn’t a single Parkinson’s diet plan recommended by doctors, it’s generally understood that certain foods are better than others. You already know your senior loved one should be eating plenty of fresh fruits and vegetables. In addition, you should watch out for these six foods that may need to be avoided as much as possible.
Parkinsons And The Protein Redistribution Diet
A protein redistribution diet is another way to make levodopa more effective and to help reduce the feeling of sickness. It involves concentrating your protein into a certain time of the day.
This could mean:
- Reducing the amount of protein you eat early in the day. This may help to increase your body’s response to medication and avoid unpredictable motor fluctuations
- Eating your main protein meal in the evening as a slower response to medication may not be as important at this time
The Parkinson’s NICE guidelines highlight the importance of discussing a protein redistribution diet with a specialist.
Foods Containing Saturated Fat And Cholesterol
Some studies suggest that dietary fat intake may increase the risk of Parkinson’s.
Although having a higher intake of cholesterol can elevate a person’s Parkinson’s risk, having a higher intake of polyunsaturated fatty acids may reduce the risk.
Therefore, a person with Parkinson’s may wish to reduce their intake of cholesterol to help control the symptoms of the condition. They may also wish to reduce the amount of saturated fat in their diet.
However, further studies are required to explore the link between dietary fat and Parkinson’s.
The Latest In Nutrition And Parkinsons Disease
Eating well can help you take control of your health. In fact, choosing to eat healthy foods can improve your Parkinson’s disease symptoms. And some research suggests that sound nutritional choices could have disease-modifying effects, meaning that they could potentially slow PD progression. Changing your eating habits can be a challenge, but there are many small adjustments you can make to your diet that will add up to big benefits. Learning about them is the first step.
The following article is based on the latest research and a Parkinson’s Foundation Expert Briefings about nutrition, hosted by John E. Duda, M.D., from Philadelphia VA Parkinson’s Disease Research, Education & Clinical Center .
Tips To Eat Enough Protein Around Your Dosing
You may or may not notice that eating foods with protein and taking your medication together make a difference in your Parkinson’s signs and symptoms. If you do, talk to your doctor, and ask if this rule of thumb and dosing scenario below could work for you. Of course, remember to change the times based on when you wake up in the morning but keep the intervals the same.
The Link Between Protein Intake & Parkinson’s
Now I know, typically, even by contributors on this website, it is said that consuming protein heavy foods can negatively impact the symptoms for Parkinson’s disease and may even worsen the side effects of the medications. However, I think this is possibly not true, at the very least should be reconsidered for a case by case basis.
Is Diet Enough To Keep Parkinsons In Control
NO, basic exercise even if with assistance, daily 20 minutes exposure to sunlight, and listening to music are the three basic things to do on daily basis. It is proved that they help to improve the dopamine level in the brain.
Good sleep is also one of the ways to uplift mood. However, most Parkinson’s patients struggle to get a good deep sleep.
What Are The Symptoms Of Parkinsons Disease
Before we get into details of today’s topic, let’s first see the symptoms of this disease. Parkinson’s disease carries many symptoms with it. Not only is it large in variety, but it is different for everyone.
It varies from shaking/ trembling of limbs/ hands etc. to variation in speech. However, one thing that can be said for sure is that the symptoms tend to develop over a period of time. Out of several symptoms, the following are some:
Rigid muscles: patients with Parkinson’s disease might suffer due to stiffness in different parts of their bodies as it may be painful. Not only that, but it may also cause restrictions in their movements.
Changes in speech:
Another symptom is that patients might notice some speech changes, meaning their speech might not have the inflection it would usually have and would sound more monotonous.
Reduces their subconscious or automatic moments:
Such people tend to have decreased ability to perform actions and movements that they usually do subconsciously, such as smiling or blinking their eyes.
One of Parkinson’s disease symptoms is the shaking of different parts of the body, like hands, limbs, etc. This happens when your hands are at rest. Usually, it starts with your finger, hands, or limbs.
Foods To Avoid In A Parkinsons Disease Diet
If your goal is to maintain overall health with Parkinson’s disease — and it should be — you should avoid or reduce your intake of some of the same potentially harmful foods as people without the condition.
For example, a diet with lots of sugar can add too many calories and provide your body with too few nutrients. It can also contribute to tooth decay and increase your risk of diabetes.
In addition, foods high in salt and sodium content can increase the risk of high blood pressure, heart attack, and stroke. According to the American Heart Association, some of the saltiest foods in typical diets include:
- Breads and rolls
- Cold cuts and cured meats
- Burritos and tacos
“Most of our patients have problems with low blood pressure, due to issues with autonomic nervous system function in Parkinson’s disease,” Subramanian adds. “So in some cases, we recommend a little extra salt in the diet, or even energy drinks, to boost blood pressure.”
Either way, you should check with your doctor about taking appropriate dietary steps to manage blood pressure along with Parkinson’s disease.
Also limit foods high in calories and fat, particularly saturated and trans fat, which can increase your risk of heart problems as well as certain types of cancer and make it more difficult for you maintain a healthy weight.
What Foods Are Good For Parkinson’s Disease
No food or diet can serve as a cure for Parkinson’s disease. But eating certain foods can help minimize symptoms and help you get the most out of your medication.
Parkinson’s is caused by a decreased production of dopamine. Low levels of dopamine lead to diminished motor skills, balance problems, fatigue and other symptoms. The food and nutrients you put into your body can play a critical role in producing dopamine. So while eating the right food certainly cannot offset the effects of Parkinson’s disease entirely, a recommended diet can support your body’s ability to produce dopamine and combat symptoms of the disease.
Foods Not To Eat With Parkinson’s Disease
Parkinson’s is a progressive disease that causes trembling, rigidity, slowed movement and poor coordination in an estimated 1 million people in the United States, according to the Parkinson’s Disease Foundation 13. Although no known cure exists, medications, psychotherapy and dietary changes may help manage your symptoms and lower your risk for potential complications. A healthy diet improves your energy levels and overall quality of life. For best results, seek specified guidance from your doctor or dietitian.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
The Function Of Protein In The Human Body
Protein has many functions, but most of all, your body needs protein for the growth and repair of tissues. Usually, the amount of protein that is broken down is equal to the amount of tissue formed. However, this ratio can change drink pregnancy, long periods of illness, etc.
During that time, your body breaks down more protein; therefore, a person needs a higher protein intake. Enzymes are also made up of proteins, and they carry out all the biochemical reactions in the body.
If the enzymes are not present, all the reactions will not be possible, leading to severe consequences. Because a lot of critical bodily functions such as digestion, muscle contraction, energy production, and even clothing of blood depend on enzymes.
Not only that, but some proteins act as hormones. Hormones are chemical messengers that carry out the communication between different cells, tissues, and even organs. Moreover, a specific class of proteins, known as fibrous proteins, provides tissues and cells with rigidity as well as stiffness.
But why is protein essential for people with Parkinson’s disease, you ask? Well, among a lot of other things, proteins help in the transmission of information in the body through neurons in the brain.
There are certain amino acids that are of concern to people with Parkinson’s disease. This amino acid is required by our brain to form a chemical that is lacking in people with Parkinson’s disease, dopamine
Side Effects Of Taking Carbidopa/levodopa
I am newly diagnosed with Parkinson’s disease and just started on carbidopa/levodopa. However, I feel that the medication is making me feel worse than my original symptoms. Can carbidopa/levodopa make PD worse?
Carbidopa/levodopa can definitively have an array of side effects such as nausea, fatigue and dizziness. Your neurologist will try to find a dose that helps your PD symptoms, but does not cause side effects. Carbidopa/levodopa is probably not making your PD worse per se, but it sounds like overall, you are feeling worse on this dose than you did on no medication. You should discuss this problem with your neurologist who may consider changing your medication dosage.
My husband has had PD for about 10 years. Lately he has been having significant body, arm and finger movements after a dose of levodopa which improve just before the next dose. Is there any treatment for these abnormal movements?
I was advised to take my carbidopa/levodopa at least 30 minutes after a meal. However, this caused a lot of nausea and stomach upset for me, so I now take the medication with meals which is much better for me. Is this OK to do?
I noticed that I have increased trouble with my symptoms when I eat a meal containing protein. How do I adjust my diet to accommodate this?
Dietary protein can interfere with carbidopa/levodopa absorption in some people. This is known as the “protein effect.” The two ways to adjust your diet is to: