@gently I weekly moved one click a week. Stopped at 4 for spine Dr wondering if was what causing my pain. Didn’t start back for got a serotonin toxicity from a dr prescribed an antidepressant not knowing the Tramadol I was taking for pain had antidepressants drugs too. So my nervous system went in a spital.i had to wait few months to try getting back to tolerate anything. My understanding of forteo is because I has radiationof of breast, it’s questionable for me. I had to tell my pcp about Tramadol. She looked it up and said I was right. Unbelievable