standard dosing schedule is 2.5 for 4 weeks, 5 for 4, 7.5 for 4, 10 for 4, 12.5 for 4, then 15 until goal. some people respond fast and stay low. i never went above 10 until the last 10 pounds, then 15 for a month. took 18 months total to drop 90.
The steady state approach - going in at lower doses to let levels accumulate gradually - is exactly right for avoiding the worst of the sides. The assumption that smaller peaks are less likely to cross the symptom threshold holds up in practice for most people.