Tymlos blood pressure side effects etc. very nervous! Help…

Posted by osteopatient2026 @osteopatient2026, Nov 11, 2025

I wanted to know if anyone has some info on these specific topics.
We are in a small town one Rheumatologist…has connections with Dartmouth, which isn’t bad.

1. 90/60 blood pressure (10-20% drop with Tymlos)
2. Can you start with smaller dosing first few days to start? He says no others say yes. Tymlos company rep says no, but I see others have said they did that.
3. Can you use Ibuprofen to raise low blood pressure?
4. Phenegran or Zofran for Nausea? What other meds since these can low BP also.
5. Calcium Vitamin supplement schedule?
6. How soon should a Blood test follow up be?

Any other experience with Tymlos would be helpful…supposed to start Thursday

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

Profile picture for beachesanddreams @beachesanddreams

@vixstermoves Amazing! 🙌🏻 Well done! Thank you for your reply. I’m finding that anecdotally, women who titrate UP (as opposed to starting at the full dose and titrate down when they experience uncomfortable side effects), seem to get to the full dose comfortably, stay on Tymlos LONGER (which is the goal), and have those positive gains.

In the same vein, many also see positive gains in under the 2 years it’s recommended.

One rheumatologist told me to start low.

Another said absolutely not. This is the doctor I prefer to go with, because her practice isn’t nearly as chaotic as the first guy, but I honestly feel I might do best starting low and slow.

Again, many thanks. If you’ve any other tips to share, please do.

Your wonderful gains are something to be thankful for, and I am really happy for you.

My best~

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@beachesanddreams
I really believe that some doctors have experience with Tymlos and some don’t. This forum has been invaluable resource. There’s tons of knowledge here with experience,. By starting with a low dosage and moving up, has been fine. So know that it works and do what’s best for you. It kind of makes sense. Start slowly increasing to the proper dosage. My endocrinologist was totally on board with starting at 20. What I didn’t expect that I was going do 20 than 40 then 60 to 80. But it worked out.
Most important to listen to your body. The drug is mimicking the parathyroid in creating bone.
I definitely get discomfort from the medicine.
My shins used to burn. Also, my lower limbs have some muscle weakness. When I first started, it affected my knees badly. The other thing I do differently. Is, I put the pen in the refrigerator every morning till I get ready for the evening injection, in bed. The following morning, I put it back in the refrigerator. I do this , because, I was traveling around in a camper van and the environment was pretty warm. Even in the summer, room temperature is higher than what is recommended for the pen. So I put in the refrigerator daily. I think I read somewhere in one of these forms that somebody else did the same. In fact, I believe it was their Doctor who recommended doing so.
Good luck, lots of great experience in this group. I wish we heard more of the good news/good experience, but it is what it is.
Good luck!!

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Profile picture for vixstermoves @vixstermoves

@beachesanddreams
I really believe that some doctors have experience with Tymlos and some don’t. This forum has been invaluable resource. There’s tons of knowledge here with experience,. By starting with a low dosage and moving up, has been fine. So know that it works and do what’s best for you. It kind of makes sense. Start slowly increasing to the proper dosage. My endocrinologist was totally on board with starting at 20. What I didn’t expect that I was going do 20 than 40 then 60 to 80. But it worked out.
Most important to listen to your body. The drug is mimicking the parathyroid in creating bone.
I definitely get discomfort from the medicine.
My shins used to burn. Also, my lower limbs have some muscle weakness. When I first started, it affected my knees badly. The other thing I do differently. Is, I put the pen in the refrigerator every morning till I get ready for the evening injection, in bed. The following morning, I put it back in the refrigerator. I do this , because, I was traveling around in a camper van and the environment was pretty warm. Even in the summer, room temperature is higher than what is recommended for the pen. So I put in the refrigerator daily. I think I read somewhere in one of these forms that somebody else did the same. In fact, I believe it was their Doctor who recommended doing so.
Good luck, lots of great experience in this group. I wish we heard more of the good news/good experience, but it is what it is.
Good luck!!

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@vixstermoves To be sure, most drugs have side effects that we can’t escape from.

Lately, I am constantly reminded of 22 years ago, when I underwent chemotherapy for breast cancer (hence the osteoporosis today). On my very first visit, a wonderful nurse named Pat sat with me and gave me a piece of paper with a list of every possible side effect, and a corresponding list of OTC medications that would alleviate them.

I had never even heard of Biotene mouthwash at the time, but you best believe I had a little bottle of it in my purse whenever I went out to eat!

Her kindness allowed me to get through chemo. It wasn’t always smooth sailing, but I swear to you, I was only sick one time in five months. Every side effect was addressed and dealt with.

Drug companies have an obligation to do this today, i believe. If you’re going to tell us the negative ways this drug might affect us, give us some solutions. It’s comfort, and the decent thing to do.

God knows they have the money to do it.

Excellent advice on refrigerating the pen. Noted. 👍🏻

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Profile picture for osteopatient2026 @osteopatient2026

Really appreciate your kind response. Anxiety is high…the doctor said if I don’t like daily injections I could go to Prolia…that’s worrying because it isn’t a anabolic…he is a Rheumatologist…Hope he knows what he is doing…my T score is -4.8 spine and -3.3 hip.

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@osteopatient2026
Hi, I was supposed to star a month ago and I haven’t been able to bring myself to do it because of anxiety, technically, I am paralyzed by fear, I know this is what I should do but I am so scare! Thank you for letting me vent…

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