osteopatient2026, neither the doctors or the nurses or the drug reps will advise you to start with less than the full dose. You will likely be fine on full dose. You may not have any side effects at all. If you do have side effects the way this drug works and the reason you have to inject every day is because its effect is dependent on the fact that it leaves your body very quickly, usually within four hours of the injection. You may have the usual blood pressure drop, maybe a headache and/or light nausea. Those side effects go away after 4 to 6 hours. And in most people they diminish with continued use.
You won't find any published guidance because Tymlos has never been tested with this method. And the most effective dose is going to be 80mg.
The reduced dose method comes from patients. The first time I heard about it was here. The patient told her doctor who now uses graduated dosing with some patients.
Be careful today after the injection in case you get dizzy. And then post your experience. Your bones are going to love this.