Yes, see the previous "reply" from me. Dropping the Rytary and moving back to carb./levo, and adding a dose by giving 4 doses, 4 times daily, so he (my neurologist) figures the 4 doses spread throughout the day should cover my off-periods and prevent any tremor or reduce automatic movements (any dyskinesia) a 3-dose regimen would not cover. Best of all, though, is that, overall, I feel stronger physically and more like my old self, without the tiredness feeling, without feeling particularly drained before I try to exercise, I'll be attending my first Rock Steady boxing session tomorrow and predict I will feel stronger, and get less worn out during the Rock Steady hour-long session. I also take 1 1/mg Azilect (rasageline) pill (once daily) to prevent the PD from worsening, and to keep the symptoms relatively mild and reduce the physical effects from worsening.