@gravity3 Yes, I am referring to the abdominal bloat that many on Tymlos have experienced as a side effect.

I wonder if starting low on the dosing pen and gradually increasing the dose might help ameliorate this, as well as other side effects.

Past posts on Tymlos have been positive in greatly reducing side effects by titrating up. Patients seem to stay on it longer, and have excellent gains.

My self-esteem and mental health took a blow last year with two other medications I tried for inflammation. I feel like I lost a year just dealing with those. I am extremely invested in increasing my bone density (I am -3.0 in lumbar spine, osteopenia everywhere else), but this year, I want and need to have some control over my quality of life.

My current rheumatologist is adamant that I take the 80 mg to start only, and I completely understand her reasoning, but I also trust myself and my own instincts, if that makes any sense.

After all, we are the only ones living in our own bodies.