@jcoleary Thanks for your reply. You’ve been through quite a bit. I wish my pump had given me some relief at that level. I was at 4.1 mg last week but it was making me nauseous. I had to have it turned down. I am back at the doctors office today to have it turned down again as I am still feeling borderline nauseous. That should bring me down to about 3.2 mg. I will see about adding something to the mix.