@susyt I hope you can get your Vitamin D3 up quickly. That is important with Tymlos. I once read that Tymlos "eats D3" so I upped mine to 3,000 units per day and my level stayed stable at 52. Once I finished with Tymlos it started to rise too fast so I went back down to 1,000-2,000 a day.

If full dose is problematic it might be better to lower the dose than stop. My doctor agrees with this and is suggesting this to his patients. For me there was a huge difference between 70mcg and 80mcg, I never tolerated 80 but did okay with 70mcg- but only after backing down to a lower dose and moving up. If you have been on full dose for awhile you might not need to titrate but could just do to 60mcg for awhile.