@ymv I did not start with a full dose. The first dose I took was the full 80mcg and I landed in the ER (preexisting afib). I was determined to take itand started at two clicks out of 8 and ramped up. I mostly take 7 clicks, sometimes 6, a few times the full 8. I have had excellent gains with a partial dose and my doc approves.

Side effects do ease over time as your body adjusts to it. Some days I have none, and some days I still have them even at 7 clicks. I have learned it is better to get up and out in the morning after I take it. I do not take it in the evening because I am more prone to afib then. (Haven't had any since...)

Side effects for me include the brief rapid heart beat (better after a month or two), nausea (better after a month), headache (also eased) and the most long lasting has been fatigue, which, again, I counteract by going out and doing what I need to do. It is worth it! Or has been for me. And some people have NO side effects. I am extraordinarily sensitive to a lot of meds, have several other conditions, and am small in size.