Here's another data point about ramping up for what it's worth to you: I'm five weeks in, and I've managed to get to a 4. (I'm really proud of this, by the way.) I started at a 1 and stayed there for over a week. I get a really rapid heart rate, but elevating my legs after the injection helps with that. I've gotten a mild headache at 1-3 but a more significant one at 4. I inject at night, and every side effect is gone by morning. I'm still obviously in the earliest of stages with this medication, I still don't like taking it, and I'm still scared of it. But here I am-- and here we all are. This community of women who share their experiences and give each other encouragement has meant everything to me.