@grrranny , when I began taking it in June my doctor only told me that the dose was 80 mcg (8clicks) and the 1st month I was dealing with horrible headaches and low back pain. Then I found this group and dropped my dose to 6 clicks for a month. Unfortunately when I told my doctor that I was dropping the dose he was not in favor as I was still recovering from 2 pathologic fractures and he wanted full dosage. But it was my choice. The headaches improved but low back pain persisted. It took me about 3 months to work up to the full dose. I still have some issues occasionally but my body seems to have adjusted. Soon after administering the medication I still experience palpitations, lightheadedness, nausea and headache. But they abate in a few hours.

Good luck to your hubby!