Considering your relatively mild symptoms and young age, I am surprised your MDS would put you on Sinemet and Mirapex so quickly. Seems like bringing out the big guns at a very early stage. While I was having very mild symptoms as you are, I was only on Azilect. When symptoms started to interfere more with doing household tasks and motivation to exercise, I started taking Amantadine. (I could be on Neupro, Mirapex, etc. but I am already a bit compulsive about my computer use. From the literature and also reports from my support group, I know that these drugs can exacerbate compulsive tendencies.) I think the idea is to reserve starting on Sinemet later in order to postpone the eventual side effects.