i think it offers the potential for more even blood concentrations of l-dopa.

i have to hope that inhaled l-dopa, in phase 2 testing i think, might be another alternative in that it also completely skips the digestive system which i think duodopa strangely doesn't, it delivers the l-dopa to the intestine. it would likely be too expensive to take as your primary drug but more advanced pd'ers could possibly take less oral meds and not have to worry about wearing off as much. afternoons and evenings are where i have the most variability in my l-dopa response, probably partly due to protein interference, maybe l-dopa nerve receptor overstimulation?, but regardless, quick acting inhaled l-dopa should improve the quality of life and give you the luxury of having a more steady dose of l-dopa? easy to intellectualize this but the cost of the l-dopa gel for both of these external devices is incredible and i have to wonder just how many insurance companies will pay for it. it's that recurring cost. healthcare costs are going up again and with obamacare funding so much medicaid and other private policies, and increasing medicare costs, cost cutting has to occur somewhere.

but if i was in your shoes laura, i'd want anything that helps.