I think you have it covered and you’re going to do great! At first I did get a little vertigo, but it happened when I would lie down. So, I make sure I sit up for a while after the injection. I also keep track of where I inject so I can alternate those areas. I watched the Tymlos video on how and where to inject and took a screen shot of the belly they show with areas to inject. I make copies of that and fill in the squares with the injection day, 1-30. Don’t know if that makes sense. I’ll see if I can figure out how to attach photo.

I actually switched to morning. When I did it at night I woke up with a headache. Once injecting in the morning, at first I rested for a couple of hours but as time went on, I found that I did better getting up and even going out.. I have low blood pressure so perhaps that activity raised it.

Everyone is different!

The hydrating and eating salty stuff is for low blood pressure. I might have mentioned it awhile ago because I was having lower bp after Tymlos, and had low bp to start with. You can get a home blood pressure cuff. If your blood pressure stays fine, there might be no need to do those things.

I have to say I miss Tymlos. I felt safe- no fractures in those two years (I have 7 spinal fractures) and I think my pain level was good, not sure why. Good luck!

And yes, stomach only. You may benefit from Tymlos nurse educator as I did. You can schedule and they will do a zoom with you within a few days. I had never injected and was really nervous about doing it correctly. No big deal after all!

Hello @babbsjoy,

This is a great question and discussion to help yourself and others share tips on how to get prepared for starting a new medication or facing a procedure. I combined your discussion and the replies with an existing discussion on the same topic titled, "Any pre-injection tips for Tymlos?" - https://connect.mayoclinic.org/discussion/any-pre-injection-tips-for-tymlos/ so that everyone who has shared their experiences could meet in the same place.

@babbysjoy, if you are comfortable, what in particular has you the most nervous? Have some of the suggestions helped ease some of your nerves?

@babbsjoy Tymlos has proven, at least for me to be the key to growing bone over the past 2 years. In total I had a 14% gain in my spine…about 1% in my hip. I wish I could have stayed on it longer, but it appears after about 18 months, the gains are pretty minimal and it had only been approved for year period.
I had very few side effects, mainly in the beginning but switching from morning to bedtime injections helped a lot. Throughout the 2 years I would have periodic bouts of ankle discomfort and noticed my tummy pooching a bit more than normal. The ankle pain stopped once I finished my 2-years.
Now I’m deciding what’s next. I’m guessing it’s going to be Evenity. I’m holding off a bit but don’t want to wait too long.
I did all 8 clicks with my injection pen from the beginning but many woman start with a lower dose and build up. I’m really happy I went the Tymlos way.

Several posts recommend injecting in the thigh or butt cheek to avoid a puffy stomach. I tried this and it works for me! Stomach slimming down after a year if injecting in the belly fat.