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OFF Time in Parkinson's: (Your Top 20 Questions Answered)

This content is made possible by the generous support of viewers and listeners like you. If you would like to make a donation please visit: https://dpf.org/youtubedonation In this webinar, Dr. Yasar Torres-Yaghi answers questions about OFF time in Parkinson's including symptoms, medications, deep brain stimulation and more. See the time stamps below to jump to a specific question. For more resources on OFF time, click here and scroll to the bottom of the page: https://davisphinneyfoundation.org/we... SUBSCRIBE to our channel for more educational resources from the Davis Phinney Foundation :    / davisphinneyfdn   0:00 - Introduction 1:23 - What is OFF and what are the different ways to manage it? 6:44 - What types of symptoms might a patient experience when they are OFF? 9:34 - Do OFF episodes have to do with the types of medication you take and your medication schedule? 12:40 - Are there any nutritional choices that can play a role in OFF time? 17:37 - What is the interaction between OFF episodes and exercise? 20:22 - Are there safe ways to extend the life of your carbidopa/levodopa so you have less OFF time? 22:42 - Do OFF times increase as Parkinson's progresses? 24:39 - What are the most effective ways to treat OFF currently? 29:49 - What is your experience with the Neupro patch and does it help with wearing OFF? 31:43 - Does strenuous exercise burn through carbidopa/levodopa more quickly, thereby invoking OFF periods? 33:24 - When OFF time occurs late in the afternoon, would adding a late afternoon dose of levodopa be as effective as switching to an extended release form of dopamine? 36:19 - How much time should you avoid protein before and after eating to allow maximum medication absorption? 37:46 - Can you speak to the difference between OFF symptoms and sundowning? 39:48 - How much wearing OFF should you tolerate before increasing your carbidopa/levodopa? 41:40 - What medications may be coming down the pike that can help with OFF? 43:40 - I have OFF times when I don't move much for a long time, is this common? 45:07 - My husband has fatigue has fatigue when he is OFF, what can he do? 47:06 - If insomnia is an OFF problem, how is that treated? 48:31 - Does chewing medication help decrease wearing OFF and what can I take with my levodopa to increase efficacy? 50:17 - Does OFF feel different if you're taking a dopamine agonist instead of carbidopa/levodopa? 51:50 - Please explain the three kinds of deep brain stimulation surgical treatments?