I just returned from my neurologist visit. Last visit was in January. He reported that I am unchanged since January and I am still at Level 1 "way ahead of the curve". He said that people are normally at Level 2 by three years into the disease. I'm at five years. I've been able to cycle nearly every day since getting home a week ago. He suggested I return to ReQuip XL 4 mg (I had raised it to 6) since I'm able to be back on the bike.