@hanna47 the goal should still be getting to the highest dose you can tolerate. You can back down to 1/4 (2 clicks) or 1/2 (4 clicks) dose and move up as your body adjusts. I ended up doing mostly 7 clicks.

I read that Tymlos "eats" Vitamin D3 so I upped mine to 3,000 units/day and my level stayed steady for the whole two years at 52-3.

Tymlos temporarily raises calcium levels. Evenity lowers them. Just fyi.

For muscle cramps (mine were unrelated to Tymlos, occurred before I ever started) I drink low sodium V-8 which is rich in potassium but if you have kidney issues, talk to your doctor first.