Your starting dose is personalized to you. Based on your medical intake, health history, and goals, your clinician determines the dose that's right for you to begin with.
From there, most treatments start low and step up gradually so your body can adjust. Your clinician monitors your progress through your monthly check-ins questionnaires (optional but highly encouraged!) and may increase your dose over time, but if you don't want to increase, you won't automatically be bumped up.