I tried Tylemos for 4 months. I went off cold turkey. I felt miserable and had a dull headache that started at first very mild. As time went on the headache lasted all day as well as feeling like I was in a fog. I had bad side effects with envenity and reclast. I’m done with all this osteoporosis medicine. It’s a risk if I fall or break something, but I wasn’t going to suffer for another year or two after I suffered a year on envenity.