@hlp123

I started yesterday with 2 clicks.

@hlp123 yes. You can start off at two clicks and it goes up to eight clicks. I was on forteo at first and it was horrible. The pain was unbearable. Then they switched me to TYMLOS because it had the clicks. If I start off on the two clicks every week, I increased it by two and I was up to six and doing that every day. This was prescribed me by a rheumatologist. Then I just saw my endocrinologist last week and he told me that he had great success doing the eight clicks every other day so I’m going to listen to my endocrinologist because that break in between is wonderful. I absolutely hate the medication, but I’ve had six compression fractures in my back due to osteoporosis and I have no other choice. I wish you the best of luck and make sure you ask your doctor lots of questions.

@hlp123, yes. You have to listen for the clicks. They aren't marked on the pen. Each click represents 10mcg. The full dose is 8 clicks. Some start with one click and move up a click every day or so. If you feel unwell or achy at 4 or 5 clicks, back down for a while. One member took her time getting to 7 clicks and that was the most she could tolerate. We don't have her numbers but she did have positive bone growth at 7 clicks. I think it is wise to start low. With some the body adjusts and they end up on 8. I think the 8 click dose is too high for those with low body weight.
Tymlos may be the very best medication available for osteoporosis. Let us know how it goes for you. You'll find it easy. If at first you miss the click, you can always discard the entire dose and try again.