I think you are being far too conservative with the dose. Starting at 1 and increasing it every two weeks is far too cautious. It will take you two months just to get to 5.

I would start at 3. If that goes well, move up to 4 the very next day. If that works, move up to 5. If you need to stay at a level for a few days, that's fine. The goal isn't to take as little Tymlos as possible - it's to take as much as possible.

Also, you can have mild side effects and that's ok. Don't think "oh, I went up to 4 and I feel a little lightheaded, so I have to go back to 3." I've been taking it for a year and I still feel a little "something", but nothing I can't deal with.