Made it Up: I was diagnosed 6 years ago, but had what I now believe were PD symptoms long before that. And yes, I do see a good MDS neurologist. As I indicated in my initial post, the Sinemet actually gave me weak legs & cramping, also toe curling, etc., a few years ago, which basically went away when I decreased dosage. So it's not an "off" problem, just the opposite. Now I need the Sinemet more than I did then for slowness, sleep, etc., and the weak legs, etc., and it's getting harder I guess to find a balance between relief & side effects. So what else is new, right?