I've been following along the discussions, but am posting for the first time. I'm 76, and was diagnosed a little over five years ago. I'm taking two 25-100 Sinemet daily and two Selegiline 5mg with my morning and noon meals.
My neurologist is very pleased with how slowly my symptoms are developing. My previous doctor wanted me to start with 3 Sinemets for the first two weeks, then double to 6/day automatically. I have a mild left-hand tremor and the common slow-motion effect when taking bills out of my wallet, coins from my pocket, buttoning my shirt, etc. I'm a bluegrass musician, and just last year had to hang up public performance because playing at those tempos became impossible. In addition, I tend to lean forward when looking downward, and have minor perception issues.
I'm really lucky to have this thing moving so slowly, I know that most neurologists encourage higher doses of Sinemet because the science say's that it doesn't in any way speed up the progression of the disease. But I'm of the mind to minimize dyskinesia by taking just enough Sinemet to feel very minor dyskinesias (foot clenching, teeth grinding, body movement).
My doctor has been very encouraging saying, "I really thing something else will get you before Parkinson's does." I can't decide whether that's good news or bad. I'm realizing there's a lot of psychology in being a good neurologist. I've been swimming 3 days a week for 45 minutes since my diagnosis and he says that could be the best thing I have going.
I'm interested in any strategies that others with slow moving PD are finding helpful.