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IMO, anything less than 80-100mg at least 1x per week is doomed to fail, which has been said above.  Even if the doctor doubled your dosage to 100mg every 2 weeks it would still fail.  I would ask for 100mg/wk and if he says no then go to a new doctor.  This is if you are trying to keep it simple/use insurance etc.  As you mentioned this doctor even if he grants you a proper dose will not be able to help much along the way once you start.  You will have to self direct your protocol.  Otherwise you will need to seek a local/more knowledgeable doctor or else contact a place such as Defy if you want better care.