taraneh64, you're very welcome. Best to skip the tea and coffee at night, especially if you are still having a little dizziness. Some, here on connect, take a lower dose of Tymlos by counting the clicks as they turn the dial. They gradually advance the dose to allow their bodies to adjust, and stop at whatever level is comfortable. Even at lower doses they have strong gain on dexa. We often speculate that the doses might be too high for our body weight. Did the back pain stop.