I also think that spreading the dose is better, seems to me that she needs a big boost in the morning once any residual dopamine production of her own has declined, but perhaps its better spread out, the thing to do is avoid peaks and troughs, then the lip pursing etc is less likely to happen. The slight nausea she gets could be avoided by spreading the dose. Ginger is good for this and for lots of other problems in older people. A ginger tea, or small piece of ginger preserve may help. But agree that a good MDS/neuro/pd nurse will help sort this out. In treatments like duodopa which drips feeds l-dopa very slowly into the system dyskinesias disappear, it is fluctuations that give the nasties.

I have heard that the Leader book on nutrition is wonderful, am hoping to look at it myself, that would be a good place to start......

Best wishes with sorting it out
Lindy