Weird, but not every dose increase makes me sick. When one makes me too sick, i step back for 7-14 days, then go up with smaller steps, e.g. .25 to .375 rather than straight to .5. Staying on a dose until its effects fade is my habit too. 30 lbs came off in the first quarter year, then roughly 8lbs monthly. 48 lbs gone since March. Probably a super-responder, given how much came off at tiny doses.