I am currently on month 18 of Tymlos and experienced the weight gain and belly fat when I first started the medication. I recently switched doctors and when I sat down with my new endocrinologist the other day I asked if her patients are reporting this problem and she said a few. She went on to say that she felt it was not due to the medication but rather lifestyle choices. So …, I have lost some of the weight working with a weight management doctor and a small dose of Topiramate but not the belly fat. I guess liposuction will need to be a consideration if I don’t lose it after my 24 months on tymlos