4.5 Started at 1.5. Fairly quick results. Only side effects being externally vivid dreams. After a week went to 3, week later to 4.5 I alternate between 3 and 4.5 mostly because dreams can be a bit much. But pain reduction is great.

I have Sjogrens autoimmune as underlying condition.

Other trick I found was I was taking a b complex. Removing the b-6 seemed to help.