Parkinson's Disease-Reply

In Reply. —The purpose of our studpy nwas to determine if eliminating dietary protein would eliminate motor fluctuations. We attempted to achieve a close-to-zero protein diet that still would quench hunger pangs. For breakfast, we provided orange juice, coffee with non-dairy creamer, sugar, and fresh fruit. For lunch we gave a salad (lettuce, tomato, cucumber, and other vegetables with oil, vinegar, and garlic dressing) along with coffee, juice, and fruit. The research dietician who helped devise this diet and who provided direct daily supervision calculated that the protein content of these two meals was 7 g. This was the rationale for using a 7-g diet. The diet was liberalized to tolerance by the addition of foods with low-protein content, which are listed in our table. The word "unrestricted" there should have been followed by "as tolerated" and we thank Ms Goldstein for pointing this out. Some patients were extremely sensitive and