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Treatment options after completing Tymlos
I had my first injection of Tymlos today. My spine T score was -3.2 and I was advised that anabolic medication was necessary. I am 64 and wondering what other people have done after completing Tymlos. I’m worried that I’m in for a lifetime of harsh drugs with awful side effects. Would love to hear from others with experience.
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@rileyf
My nurse either…she didn’t know about the no calcium 1-2 hours before or 4 hours after the injection either.
I’m sure after some time you adjust. But we are trying our best to avoid side effects aren’t we?!
@osteopatient2026
News to me! Nobody told me about the calcium restrictions. Thank you again!! Sometimes I wonder if I should be taking anything at all. Still going to more consultations. It's a lot to take in!!
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1 Reaction@osteopatient2026
What is your source for this information?
@osteopatient2026 -3.3 spine average when first diagnosed. -3.0 average when I started Tymlos (I must have gained a little on my own.) -2.0 after nine months. Next scan is next month.
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4 Reactions@normahorn
It’s just basic chemistry…your system takes a big hit from Tymlos spiking your endocrine system…the not so basic part is everyone’s system is a little different…the nausea that some people feel is from this extra load.
My husband has a medical background although he is not or was not a md. It’s how some of these (Tymlos) anabolic work. Forteo can actually drop your calcium hypo calcium vs hyper calcium.
Hope that makes sense.
The goal is to avoid a big spike of calcium in the stomach right when Tymlos is absorbed, because that can make nausea and heart-rate side effects worse.
A simple, safe timing rule that most expert clinicians use:
Wait at least 1 hour after milk, yogurt, cheese, or ice cream
before giving yourself a Tymlos injection.
If it was a large calcium-rich meal (like a big bowl of ice cream or pizza + milk), aim for 2 hours.
How early can you move the injection?
You can take Tymlos any time of day, as long as:
You take it at about the same time every day, and
You’re sitting or lying down for about 10–20 minutes afterward (in case of dizziness)
A lot of people successfully move to 6:30–7:00 pm instead of 8 pm
or right after dinner if dinner isn’t very high in calcium which can help:
side effects happen before bed, not during the night
less nausea while trying to sleep
Quick examples:
A glass of milk 1 hour later
A small portion of cheese 1 hour later
Big ice cream dessert 1.5–2 hours later
Small snacks like fruit or crackers don’t matter — those are totally fine right before the injection.
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1 Reaction@osteopatient2026
Wow! Thank you for all the valuable information. You have been more helpful than my doctor's office!! So far, I am two half doses in and will ramp up in a few days to a full dose.
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1 Reaction@rileyf
Glad you are doing well
I probably won’t be visiting here much for a while. I hope to come back and see how others are doing and report good results myself.
I hope I contributed a little to help others.
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1 Reaction@osteopatient2026 You have been SO HELPFUL! So much so, I’m sorry to see you won’t be contributing as much, but I do understand.
Wishing you continued healing and wonderful health in the new year! ✨
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