@data2net you may be misunderstanding the posts about lower doses. That is a method to help get onto a therapeutic dose. Some of us small females also do well on a slightly reduced dose.

I believe people should try a full dose but going down to a lower dose and then letting the body get used to the drug so it is possible to go up, it a lot better than quitting.

Perhaps you have not experienced sensitivities to meds. My doctor is a top world class endocrinologist and has been with me for many years while I tried to get on medications. He is happy with the method of lowering the dose and titrating up, and uses it with other patients. I did not ask his permission: I told him after the fact. He prescribes lower doses for me for many meds.

I never did a full dose. The highest I got was 7 out of 8 clicks on the pen. I had a 20% gain in spine going from severe to borderline.

Also, my doctor has said it is okay to take some days off.

We try to share experiences here and not tell anyone else what to do. I hope you can do well on a full dose but understand that some of us cannot start there. We need to get onto a therapeutic dose (my doc was happy with 3/4 dose) any way we can.