Here is some information from WebMD regarding Azilect. It is a med that can be used alone (especially in the early stages of PD) or together with other meds like Sinemet. https://www.webmd.com/drugs/2/drug-144443/azilect-oral/details @safari1949 I'm so glad to hear that you are doing so well with the med and regular exercise. I agree with you that if I don't exercise for a few days, my PD symptoms do get worse. Is there any type of exercise that is most beneficial for you?