You have to go at a pace that gives you peace of mind, but I'm inclined to agree with njx58, tho I believe there's an arithmetic error in there. Going up 1 click every 2 weeks would require 4 months to get to a full dose. But still... the idea is to take as much Tymlos as possible, not as little. Most of us who have had side effects have had them soon after starting. My view is that if you start at 1 click and have no side effects that day, the next day increase to 2 clicks, and continue like that. If you do have side effects, depending on how bothersome they are, you could hold at that dose for a few days and then try increasing it, or you could back down by a click for a few days and then increase it again and see how you do. I've been on tymlos 5 months and still occasionally have some mild lightheadedness; fortunately for me it's not bothersome and I expect I'll just put up with it for the duration. Every silver lining has a cloud, but they don't always bring rain.