I do not have an answer to your question but I will give some advice about regaining and retaining her ability to speak and swallow. It is never too early to start SPEAK OUT! therapy. This is a program offered to people with PD for no charge. Please go to ParkinsonVoiceProject.org and find a Speech Language Pathologist trained in SPEAK OUT! Most of them offer virtual or in person treatment. 90% of people will have speech or swallowing issues so if she is not having any problems she still needs to go through this program. Remember, there is no charge and no bills to your insurance. PVP is a non profit out of Richardson Texas and the only company in the world to offer this program. It is proven to be affective. Listen to some testimonials on their website.