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Living with Parkinson’s Living with Parkinson’sLiving with inflammatory foods include oily fishes like salmon, When eaten in the evening, they may keep you tuna and mackerel; dark leafy green vegetables awake. like kale, collard greens and spinach; and soy Another reason to limit is that it causes products. a spike in blood , which contributes to inflammation. When reaching for a , try Benefits of Purple and Red foods that offer a balance of and fat, Foods that contain antioxidants may also protect like nuts or avocado, or whole-grain complex brain health. Antioxidants neutralize molecules . known as “free radicals,” which can damage healthy cells including neurons. Fruits that are How Foods Affect PD Medication purple and red, like and raspberries, Another benefit of dietary changes can be d P D Nutritio n a n d contain pigments called anthocyanins, which are improvement in the effectiveness of PD well-known antioxidants. Some studies suggest medications. Taking medications at mealtime can that drinking green (three cups a day) is affect how quickly they are absorbed into your neuroprotective, because EGCG, found in green body, and the rate at which your body uses, or tea, is both an anti-inflammatory agent and an metabolizes them. If you take carbidopa-levodopa antioxidant. (Sinemet®), for PD symptoms, you may find that protein-rich foods such as meat, fish or eggs or Foods for PD Symptoms high-fat foods, lengthen the time it takes for the medicine to kick in, or make the medication less Nutrition adjustments can help ease some of PD’s effective. The latter result can also be triggered most common symptoms, both of a motor and by foods that contain vitamin B6 (e.g., meats, a non-motor nature. If you experience digestive bananas, egg yolks or lima beans). difficulties, especially constipation (which is The solution? Talk to your doctor about taking very common in PD), try to drink more fluids, levodopa 30 to 60 minutes before meals, to give it and increase your fiber intake with fruits and a head start. Your doctor or a nutritionist can also vegetables such as kiwi, , prunes, dates, give advice on how to distribute the protein you figs, , , nuts and beans. Probiotic eat, to avoid having it interfere with levodopa. supplements like Bifidobacterium (B. breve, B. adolentis and B. infantis), that add healthy Conclusion bacteria to the gut, may also be helpful. People with PD need to eat a balanced diet in If drinking more water leads to urinary order to feel their best and maintain energy. incontinence or urgency, increase your fluid intake Eating more nuts and berries, back on by eating foods with a high water content such fried food and sweets, and cooking with herbs are as tomato, cucumber, , , broccoli and all elements of sound nutrition and they may also grapefruit. If you struggle with weight loss or help you manage your PD. loss of appetite, try increasing your calorie intake by eating nuts and foods that contain healthy fats, like coconut and avocado. To stimulate Dr. Zwickey is Dean of Research and Graduate your appetite, try bitter greens like collard and Studies at the National College of Natural Medicine beet greens, or spicy foods. Exercise can increase in Portland, OR. She first presented this topic as muscle mass and hunger. an ExpertBriefing, which is available to view at Fatigue and sleep difficulties are also common www.parkinson.org/ExpertBriefings. symptoms of PD. The culprit of these problems may be sugar. When eaten during the day, sweets briefly boost energy, but make you sleepy later.

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