they started with a lower dose to make sure no adverse reactions. Then a follow up dose, then monthly maintenance. They told us that the dose can be adjusted &/or the doses can be spaced out further. I think everyone has a different story in what will work best for them. My son & I speak openly about potentially one day trying to be med free. This is very new for him, only 2 months on meds. I think it will be a process & see how he does. If he insists on coming off the med, that will ultimately be up to him. But he will have to own his decision whatever the case may be.