@susanjohnson Second question first: no idea what comes next. I can barely plan my weekend let alone a year or two away 🙂 My lightheadedness continues to come up every now and then; maybe once every two or three weeks. I'm finishing my 4th month of tymlos. At first it lasted a few minutes when it happened, now when it does, it's like just a brief wave of it in my head and then it's gone. I consider myself fortunate, tho not a good role model.