The reason I ask is that I have had sharp shock line pain in one leg, back of thigh. I thought it wasn’t the Tymlos because I also had for a week, awhile before starting Tymlos.. However, looking back, I also had hypercalcemia before starting Tymlos, which went away when I stopped fortified almond milk. (Supplemental calcium).
10 years ago I had a few months of this nerve like pain in the same spot.
My PT thinks it is nerve entrapment.
So can anyone tell me if the pain related to muscle spasms from Tymlos would manifest on both sides, and not just one leg?

Hi gently, Thank you for indicating high calcium could be the cause. I kept thinking I should start calcium supplements but my Calcium levels have been good on tymlos. I have had hypocalcium for years with cramping due to that, but what I experienced with the severe cramping was no where near what I had with hypocalcium. I bet you are correct.
This from the internet :Besides cramping, hypercalcemia can cause a range of symptoms, including:
Gastrointestinal Issues: Nausea, vomiting, constipation, and loss of appetite.
Fatigue and Weakness: Chronic fatigue, lethargy, and muscle weakness.
Cognitive Impairment: Confusion, difficulty concentrating, and forgetfulness.
Kidney Problems: Kidney stones and increased thirst and urination.
Bone Pain: Bone pain and potentially bone weakening