My take is that Parkinson's is a little like cancer in that it likely has multiple root causes that can injure the same part of the brain (substantia niagra) and cause the disease.
My research for his case led me to vitamin k2 deficiency as a possible cause / complicating factor. There are some genetic models and mouse trials that show k2 as a modality. He had his gallbladder removed about a year before symptoms started. He also has kidney stones. K2 is fat soluble, only acquired through diet, and affects calcium regulation. Oddly connected to his history/symptoms. So hard to help debug stuff like this.
He's on a supplement now. We don't have a great way to measure if it's working. The symptoms have such natural variance day to day.