@kaa1 your doctor may be unfamiliar with the idea of starting low. My doctor at a major teaching hospital was at first amused that I had done thus and now uses it in their practice for those who cannot at first tolerate full dose. Your doctor cannot prescribe this. You can do a lower dose on your own and tell the doc about it. Make sure to refrigerate he pen if doing a lower dose so it lasts longer than 30 days.