I’m so sorry. This sounds awful. Maybe you’ve heard from your doctor by now. But my thought would be to stop the Tymlos for a week and see if you feel better. It could be a coincidence that you started it in the same day you got a stomach bug. Then restart at 2 clicks and ramp up. If you get the nausea etc then you’ll know it’s the Tymlos. I think I need to do that to see if it helps with knee pain. It’s frustrating because we want to take the meds that we know will help the osteoporosis!