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@lhankins

I appreciate this. My rheumatologist did not mention any ability to dose down to adjust to the meds. I saw it here in this group. I would think dosage would be different depending on the size of the individual as well. For instance, I’m just over five feet tall so it seems odd to me I’m given the same dose as someone who is much larger.

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Replies to "I appreciate this. My rheumatologist did not mention any ability to dose down to adjust to..."

@lhankins my doctor, director of endocrinology at a major teaching hospital, now suggests the ramping up method in his practice, just to reassure you. He also said even if I could get to a half dose, it would be helpful.

Effectiveness does increase with dose, even for us small people. I never got to the full 8 (80mcg) clicks but did get to 7 and had excellent gains. My doctor was happy with 6 clicks.

I didn't ask permission to do this but my doctor was delighted that I could get on the med. You will need extra needles and if you are not doing a full dose, you need to keep the medication in the refrigerator so it lasts past 30 days- doctor, company and pharmacist all approved this.