osteopatient 2026
I have the same blood pressure drop with Forteo. These two medications increase serum calcium and expand the blood vessels immediately upon taking the shot. You can counteract the expansion by taking something salty or caffiene before injecting. I use both tea and an olive or blue corn chip. That tightens the blood vessels. Increasing the volume of fluid by taking a glass of water will make it easier for your heart to circulate the blood.
You can lower the dose by listening for the clicks when you turn the dial. Each click is 10mcg of PTH 1-34. You can start a low as you like. The doctors and the drug reps don't approve, but they don't understand what it is lie to have this reaction to the shot. Your goal might be to reach 80 mcgs or you might stop at 40mcg. Some of us think that the dosage is too high for our lighter weight anyway.
Some have reported effective bone acquisition even with never reaching 80mcg. If you do this you might keep the pen in the refrigerator, so that you can use the pen for more than 28 or 30 days.
Let us know how this works for you.
Sorry you are having nausea. The lower dose might eliminate that. I think that it is the calcium causing it. You might schedule the calcium away from the injection by 4 four hours, after unless you take the injection at night.
I'd want bone markers at one month at least P1NP. Metabolic panel is good at three months, though some doctors won't. Calcium anyway though the draw should be done at least 4 hours after the injection. I like magnesium, too. But none of these doctors do what I say. The endocrinologist ran a three month parathyroid. Following with CMP every year and so parathyroid the first year at 9months.
How long have you been on Tymlos. These side effects lessen with time for some. And, will lessen with the lower dose. So some report gradually increasing the dose until they get to the dose that causes misery, then they back down on the clicks and try at a later date.
You have been prescribed the best, most amazing medication by this small town Rheumatologist.