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@karenw9 @lhankins @mint @normahorn@windyshores I don't understand - the TYMLOS LITERATURE tells you, you can inject in six places: thighs, belly, and underarms. Read the accompanying literature with the pen! I've used them all. They work just fine. Use the published literature and refer it to your pharmacy or doctor. https://www.tymlos.com/taking-tymlos/?gclsrc=aw.ds&gad_source=1 I would not rely on a pharmacist because they are thinking of it as blood thinning med - maybe the OTHER injectables limit you; maybe your doctor is not a specialist and also uninformed? I went to the micro fine needles. Indeed NOT recommended - why? because if you aren't careful, you can crimp the needle putting it on the pen cap. A pharmacy can't override the doctor's orders. So if they give you resistance, contact your doctor. I use the 32mm x 5 micro fine. I am careful when I twist it on the pen. We've had this conversation last summer, about some of us getting fat tummies (so it was deciding not to inject in bellies) and just doing it in thighs. Which is fine. I wanted to go for rotation so I went to upper arms too.
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@loriesco, I didn't see anything in the Tymlos literature or at the link you provided about injecting at 6 sites. The instructions I saw say explicitly: "Step 14. Injections should be given in the lower stomach area (abdomen). Avoid the 2-inch area around your belly button (navel)."
Also, I recently heard a talk by Dr. Nancy Lane who does research on PTH treatments (Tymlos, Forteo, etc.) and she said that she recommends injecting in the abdomen because it is absorbed better. I was also told by the Tymlos pharmacist to inject only in the abdomen because that's what was done in the research, so they can't recommend anything different. The nurse who first showed me how to inject said I could inject in the thigh and upper arm, but I don't think she was very familiar with the Tymlos research, so I prefer to rely on the other sources.