@cfic also might want to talk further with doctors to ensure these issues you are having can be fully narrowed down to Tymlos and not something else you are taking or have as a condition. I have an autoimmune condition that causes bone pain as a norm so I honestly probably wouldn’t know if Tymlos was adding to that since been living with bone pain for over 15 years anyway.
As you know, many people here titrated slowly.
Good luck