@melodyrobidoux I think many doctors do not know that the Tymlos pen has "clicks" that allow us to adjust the dose. That would explain why your doctor suggested every other day. Alternating days, in my experience, would not help with side effects since Tymlos leaves the body so quickly. Side effects would, I would speculate, be the same on any given day even if you took it once a month!

Many of us on this forum reduce dose (even to 20mcg but you are doing okay on 40mct) and eventually succeed in raising the dose. If you can get to 60mcg my doctor said that was good. I got to 70mcg and had dramatic gains. I was never able to tolerate the full 80mcg. On days when I had something important to do, I took 60mcg and on days when I was home or had a relaxed day, I took 70mcg!

Other things to play around with include time of day. My headaches stopped when I switched to morning. Everyone is different. I have low blood pressure and initially used a blood pressure cuff. If my bp was low I hydrated and had something salty before injecting. You can make this work for you!

My doctor now suggests reducing dose and titrating up for those who have trouble with the full dose. Much better than quitting!