I started Tymlos on 2 clicks, meaning to go up slowly because I am working as a voting assistant in early voting and the general election in Florida and we are talking about 14 hour shifts (possibly every other day for three weeks) and not knowing if I would experience side effects so I wanted to be cautious. I did by mistake go up 3 clicks on day 2 (I have continued that) and I definitely have some of the faster heartbeat for several hours, not crazy, but noticeable. That’s all, though, on 3. I plan after the election to start 4 and keep going up slowly. I feel like it’s better for me than going up fast and having a more pronounced reaction. I must say I am on meds for afib and fast heartbeat already (have had 4 cardiac ablations for arrhythmia) so I am a human ekg monitor. I can feel exactly when something is different. I am quite sure going up on the dose slowly is right for me, even if it means there is no real therapeutic benefit for me yet. Do what feels right for you, its a long time we’re on this medication anyway!