When to start on medication - my dilemma too. Now 55, dx 3 yrs ago. Thought to have had it for 8+ years.
Current symptoms: tremors on my left side, cramps in calves and foot, lazy left foot that affects my gait, stiffness in wrist and hand, drooling, stiff shoulders, sore elbow joints, lower back pains, lack of smell, jaw misalignment.
Treatments/actions: healthy diet, exercise regimes at gym and at home, understanding my limitations and finding a good work/quality of life balance, finding a reason to smile each day and count my blessings - even with PD.
Meds and side effects - not sure I'm ready to take this on yet,
If anything - I now value and appreciate every minute of every day maybe knowing that my tomorrow's are so uncertain and this enables me to capture and enjoy all that is good - for now.