I am on dose #65 of Tymlos. I have stayed at 7 clicks because I have 3 very busy months ahead. I may try 8 after that but this may be “my” dose level. Only 1 day I skipped a dose bcuz I felt my heart was racing. I took a day off then did my 7 out of 8 the following day. I’m not willing to feel like sh..! I will adjust as I need to strike the right balance. I am also taking HRT and am waiting for blood tests I just did to ck hormones levels. I also have a REMS scan in March. I will post results as I know.