I am on month 5 . Honestly, my experience was HORRENDOUS. But I am an overachiever. They wanted to take me off because my side effects were so bad. I was angry my endocrinologist was so "absent" from my care. But when I heard the WORSE the side effects the BETTER is the positive effect, I refused to change to another medication. The nurse assistant, said: stick with it and the side effects magically disappear after a couple months. They did! I had them all (I am hypersensitive to medications!) nausea, fatigue, dizzy, pain in joints... I even stopped for a month to be sure I knew what was the side effects vs. regular arthritis I have. When I got back on that horse, I rode! Only then, did they tell me to start with 2, 4, 6, 8, clicks each week. I did but it didn't seem to matter. But when I got to 8 I stayed, and all the side effects completely disappeared about another month!
PLUS - at month THREE they did a P1NP and my number DOUBLED from the first month. My bone surgeon could also see my "bones are looking like they are a little denser in your spine!" You could see it in the xray!
I am still working as an artist at home so interfering with my work was a problem. Now, I am good. I suggest - if you are retired and can baby yourself for a few months then do so and see if you begin to get good test results.
I can get dental work on the Tymlos. (My wisdom took broke!) I was SO HAPPY I was on the Tymlos - because on the others you have to deal with possibly not having dental work done and healing issues.
If you are miserable - remember it means the medicine is working. I was on another medication 20 years ago where I wanted to die - because it ramped up my immune system to attack the virus hidden in my joints. When the medication killed all the virus I stopped experiencing violent pain. I am so glad I had that experience. This is much less, and not violent pain, so I am thankful. I can feel it working! good luck. try the other ones if you can't stick with it. Different strokes for different folks, you know?