@rileyf Still undecided. Am seeing a new endo next month (lots of impressive credentials) and am willing to listen and consider what she thinks. My previous endo, after spending an hour persuading me that Tymlos was the clear best option for me, suggested switching to Prolia when I reported the early side effects, especially the middle -of-the - night vomiting, and was very reluctant to give me anything for nausea. That seemed crazy to me..abandoning the whole plan for something less effective, rather than trying to help me ride out the side effects, knowing that they could well lessen, which they did. By the time the leg pains and awful fatigue came, she suggested I try restarting with a low dose of Tymlos, but by then it was a no sale. the pain had stopped after the first missed dose, as well as most of the headache. Clearly, most people don't have all the trouble I did...I want to be fair. I am by no means anti-drug, just feel strongly that we should find out all we can, expect good communication with our doctors, and respect your own smarts in matters that are this important. Blessings to you.