Understanding the 5 Stages of Parkinson’s — And What You Can Do at Each One

When someone receives a Parkinson’s diagnosis, the most common reaction is: “What will happen now”.

You’re probably also thinking about how you can help yourself.

The truth is: Parkinson’s progresses differently for everyone, and there is much more in your control than you might think — especially when it comes to supporting your body from the inside out.

Here, I’ve broken down the 5 recognised stages of Parkinson’s — not to box you into a prognosis, but to help you understand what might happen next and what steps we can take at each stage to support your wellbeing and slow decline.

Stage 1: Subtle Symptoms (Usually One-Sided)

In this early stage, symptoms might be minimal — a slight tremor in one hand, a change in your handwriting, or less movement in one arm. Often, it’s family members who notice something before you do.

What I recommend:

• Begin supporting your gut-brain axis — gut changes like constipation often precede motor symptoms by years.

• Stabilise blood sugar with regular meals and less processed carbs. It makes a real difference to energy and focus.

• Start including anti-inflammatory foods and supplements — turmeric, omega-3s, and magnesium are great examples.

• If possible, run a stool or mitochondrial test to get early insight into your internal terrain.

Stage 2: Bilateral Symptoms, Still Independent

Symptoms appear on both sides now, though you’re likely still managing your day-to-day well. You might notice slower movement, changes in walking or posture, or muscle stiffness.

What I recommend:

• Double down on inflammation control — this is when underlying triggers can really start to affect your function.

• I often recommend mitochondrial nutrients here — like CoQ10 and B-vitamins — to support energy and delay fatigue.

• Begin detoxification support (safely!) through liver-loving foods, clean water, and toxin reduction in your home.

Stage 3: Balance Challenges and Slower Mobility

This is often when balance becomes harder and falls might happen. You may feel more fatigued, and tasks might take longer or require more concentration.

What I recommend:

• Focus on nervous system nourishment — especially magnesium, electrolytes, choline, and B12.

• I also start working more with sleep rhythm, hydration, and gentle movement that supports coordination.

• If stress is rising, calming the nervous system through breathwork, nature time, and structured support becomes essential.

Stage 4: Increased Support Needed

Independence is harder at this stage — mobility is more limited, and support with dressing, meals, or self-care might be needed.

What I recommend:

• Nutrition becomes even more important. Smaller, nutrient-dense meals can maintain strength and reduce stress on digestion.

• This is when I tailor support carefully — some supplements may interfere with medications, so timing and dosing matter.

• Focus shifts to comfort and sustaining energy and clarity where we can — using targeted testing and simplified strategies.

Stage 5: Advanced Parkinson’s

At this point, full-time care is usually needed. Movement may be extremely limited, and cognitive symptoms might be more noticeable. It’s an emotionally heavy stage for families, too.

What I recommend:

• Emphasise comfort, hydration, and calm. Even simple electrolyte support or nutrient powders can help here.

• I help families make small but meaningful changes that preserve dignity and reduce overwhelm.

• Emotional support matters. You are still you, and there are still ways to experience peace and connection.

What’s Important to Remember

The stages of Parkinson’s aren’t a fixed timeline. Many of my clients stay in the earlier stages for years, especially with consistent attention to gut health, inflammation, and personalised nutrition.

No matter where you are, there are always steps we can take to support your brain, body, and quality of life.

Next Steps

If this resonates with you, download my free guide:
🧠 “Beyond Diagnosis: 5 Root-Cause Strategies to Support Parkinson’s Naturally”

Or book a free Root-Cause Review Call and we’ll explore where you are now, and how we might support your next chapter.