No, I started with the max. But, I'm male, 5-11, 175, so maybe I can deal with the max dose easier than someone who is smaller?

The usual advice was to start with four clicks. If that goes well, try five the next day, and so on. If not, go to three. The idea is to find out what your limit is. Let's say six is a problem. Go back to five for a few days and see if your body gets accustomed to it, then try six again. Given that you can take Tymlos for two years, using a few weeks to ramp up isn't a big deal.

You'll see that the pen only shows 80. The clicks prior to that just have dots. You'll have to count each click yourself, there's nothing that says 30, 40, 50, etc. It will be obvious when you look at the pen. Also note that the clicks go in both directions. You can click up to 80 and then click down. It's not like it only works in one direction and then you're stuck. So, you can fool around with the clicks up and down before you actually use it.