I just finished 4 months of Tymlos following spinal fusion. I was taking Prolia without any side effects and had mild improvement on my last Dexa. However the surgeon wanted a better bone building medication. While on Tymlos, which is self injectable in the abdomen, I experienced almost daily nausea, dizziness and drop in blood pressure when standing. I also had 3 bouts of Vertigo lasting 24 hrs. I’m now looking into taking Evenity because I just can’t tolerate the side effects of the Tymlos anymore. I hope you don’t have the same issues.