when your wacked out of your mind one "may" I say "may" need the heavy stuff ... but if they get close to the right meds you level out and then I believe you have the right to negotiate over what and how much you take ... that's just my opinion ... I personally believe the smallest amount that does the job is the right amount ... I am so close to the edge I can feel the start of ups and downs ... but I chose to live that way and use other methods to stop the slides ... so far so good ... it has allowed my mind to clear and even slip a little happiness in ....