Who wins between the cold that you feel especially in your hands and feet when you are in the off state from PD and the hot long flashes when you are also in menopause? A real fight, for now it seems that the heat of menopause wins for me. The symptoms of PD are added to those of menopause: insomnia, thermal dysregulation, irritability, etc...
This is the AI’s answer:
Who wins? If the hot flashes last for hours, their impact approaches that of Parkinson’s off-state in duration and discomfort, but Parkinson’s still tends to win because of its more debilitating nature: it’s not just cold, but a body that stops cooperating. A long hot flash is exhausting, but it doesn’t prevent you from moving or thinking clearly. However, the perception of “worse” is very individual: some may find prolonged heat more unbearable than severe cold.