Any pre-injection tips for Tymlos?

I will be starting Tymlos later this week, and am seeking any suggestions, tips, tricks that anyone would care to share. I am, of course, nervous! So far I think I have read: hydrate well before and eat something a bit salty, watch D3, consider taking it at night so as to sleep through side effects, take at a time I can lay down if necessary after, and the wonderful windy shores method of stepping up the dose if I can’t tolerate the full dose! Oh! And ultra fine needles if the ones I receive initially don’t suite….Anything else? Thanks!

I will be starting Tymlos later this week, and am seeking any suggestions, tips, tricks that anyone would care to share. I am, of course, nervous! So far I think I have read: hydrate well before and eat something a bit salty, watch D3, consider taking it at night so as to sleep through side effects, take at a time I can lay down if necessary after, and the wonderful windy shores method of stepping up the dose if I can’t tolerate the full dose! Oh! And ultra fine needles if the ones I receive initially don’t suite….Anything else? Thanks!

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!

@bluebonnet242
Thank you! I’ve been trying to think how to keep track of injection sites (my doc said stomach only)—what a great idea! Then you have a long term record! Unfortunately, I have already developed quite a belly roll over the last four very stressful years. So I have some space! (Praying the Tymlos doesn’t expand it even more, but I just need to be grateful I have access to it!). Do you squeeze the flesh between your thumb and forefinger, inject, then let go of the flesh while keeping the pen in for the count of ten? I watched the Tymlos video, but they just show sticking the pen needle into flat flesh area….Thx!

I will be starting Tymlos later this week, and am seeking any suggestions, tips, tricks that anyone would care to share. I am, of course, nervous! So far I think I have read: hydrate well before and eat something a bit salty, watch D3, consider taking it at night so as to sleep through side effects, take at a time I can lay down if necessary after, and the wonderful windy shores method of stepping up the dose if I can’t tolerate the full dose! Oh! And ultra fine needles if the ones I receive initially don’t suite….Anything else? Thanks!

@bluebonnet242
Thank you! I’ve been trying to think how to keep track of injection sites (my doc said stomach only)—what a great idea! Then you have a long term record! Unfortunately, I have already developed quite a belly roll over the last four very stressful years. So I have some space! (Praying the Tymlos doesn’t expand it even more, but I just need to be grateful I have access to it!). Do you squeeze the flesh between your thumb and forefinger, inject, then let go of the flesh while keeping the pen in for the count of ten? I watched the Tymlos video, but they just show sticking the pen needle into flat flesh area….Thx!

@bluebonnet242 I have a kid with type 1 diabetes so before Tymlos I had had decades of experience doing shots, unfortunately. I always inject in fat, so yes, I pinch some up. Then I try to avoid squeezing the medicine out/causing leakage, so I let go as I inject. Literally while I inject. Every once in awhile I hit a little capillary and have a slight bruise but pretty rare and not a problem.

I didn't keep track of where I injected to be honest- not on paper anyway. It was easy to tell just by looking at my tummy. The theory is that you want to avoid creating scar tissue, which can interfere with absorption, but personally I did not find one shot a day, with clearly visible marks on tummy where injections happened, to be much of a risk for scar tissue. Others may have had a different experience.

Thank you!

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!