@nnnwyatt how long were you at, say, level 4mcg? Maybe you could try staying a little longer on that, then 5, then 6-??? Or event try backing down to 5 clicks from 6. I found the difference between 7 and 8 to be drastic (and puzzling).

I do think that some degree of bone pain is going to happen as we grow bone, just as happened when we were young. "Growing pains." But if not tolerable at a certain level, maybe going down one click could help.

I could not tolerate Forteo (almost fainted) so I get that some people cannot tolerate a med. The adjustability of Tymlos made a huge difference for me but I understand that might not be true for everyone.

Tymlos is gone from the body in hours. The bone growth it stimulates might continue- I have no idea- I just know my doctor wanted me to take it right up to the first dose of my next med! So I assume that meant that residual effect didn't last long. But that is speculation and your doctor could answer that!