My doctor is head of endocrinology at one of the top hospitals in the world.
He knows I am sensitive to meds and was totally on board with me starting low. But I suggested it after having a bad reaction to the full dose. I also called Tymlos and told them they are losing customers because many cannot tolerate full dose and give up. This is a hormone, so your body adjusts to it.

If you are not sensitive to meds go ahead and try the full dose or a half dose and maybe you do better than I did. If you do react, don't give up on the drug and start lower.

If your MD doesn't support this I would either get a new doctor or understand that you can do what you want. It won't take long to get to the dose prescribed.

Do you ever take half a pill that is prescribed? These decisions are ours to make. Docs have to follow protocols and Tymlos was studied at full dose. They need evidence, not anecdotes. But the point is to get to full dose, and avoid stopping altogether, for some of us.

Docs like mine are flexible, but not all are. I told my doc that I was doing this and he was delighted. Even more delighted with me at 7 clicks now.