I'm probably a bad example for this forum. I'm 66, male, very fit, 175 pounds. I've been taking the max dose of Tymlos for 15 months. I totally understand how someone older and/or smaller may have side effects.

The method of "titrating", where you start with a couple of clicks of the Tymlos pen, has been discussed a lot on this board. Some people can slowly (weeks) get up to a full dose. Others find they can't get beyond 5-6 clicks without serious side effects. It's very individual. The only way to know is to try.

One good thing is that if you have a bad reaction, it will subside. Itis short-term.