Is it just me? I find coffee helps to decrease ataxia, increasing manual dexterity for daily tasks, e.g., buttoning, tying shoelaces, typing. However, if I drink a whole cup of coffee early in my day on an empty stomach, that makes it more difficult to raise my medication level to the point I have managed the tremor in my hand. So, I'm back to having trouble with ataxia. Now I have decided not to quit coffee but to move the AM cup of java back to some time later in the day when I have gotten my tremor managed. Made sense to me when I thought about it and now I have implemented this habit I want to suggest to every coffee drinker here that you try it too.