@tkdesign some of us use Tymlos at lower doses to start. In fact, I had excellent gains and never took the full dose. The injection pen has adjustable dosing and since I was sensitive to full dose, I started at 25% dose and moved up.

I also did one shot of Evenity vs two a couple of times, and my doctor is giving me 20% doses of Reclast to start (due to kidneys and afib). Find a doctor who will work with your sensitivities.

Many people seem to tolerate Evenity well as well.