Tymlos injection sites

@karenw9 @lhankins @mint @normahorn@windyshores I don't understand - the TYMLOS LITERATURE tells you, you can inject in six places: thighs, belly, and underarms. Read the accompanying literature with the pen! I've used them all. They work just fine. Use the published literature and refer it to your pharmacy or doctor. https://www.tymlos.com/taking-tymlos/ I would not rely on a pharmacist because they are thinking of it as blood thinning med - maybe the OTHER injectables limit you; maybe your doctor is not a specialist and also uninformed? I went to the micro fine needles. Indeed NOT recommended - why? because if you aren't careful, you can crimp the needle putting it on the pen cap. A pharmacy can't override the doctor's orders. So if they give you resistance, contact your doctor. I use the 32mm x 5 micro fine. I am careful when I twist it on the pen. We've had this conversation last summer, about some of us getting fat tummies (so it was deciding not to inject in bellies) and just doing it in thighs. Which is fine. I wanted to go for rotation so I went to upper arms too.

@calofmichigan I have a pain pump implanted in the left side of my abdomen, so when I inject Tymlos on that side, to get two inches from it, I inject it more to the side though I still have some fat there. My thighs are more taut but I can still pinch maybe 3/4". Do you think that is enough for the injection?

@loriesco I don’t see anything in the Tymlos instructions saying it is ok to inject anywhere but the belly? I am having the same issue, little belly fat, having to avoid scar tissue, etc. Gives me very little area.

@ccps101 that is correct. but my doctors said I could. But since I didn't get a great result I am only doing it in my belly. rotate so you don't get any scar tissue problems

@karenw9 or others who have injected Tymlos in thigh... was it successful? I've been told abdomen only, but have very little fat and it's painful and hard to find enough spots. However, I have lots of fat on my thighs and wish my doctor would ok this. Some docs seem to be fine with this although Tymlos did not study thigh efficacy. Thoughts/experiences?

@lp30
My numbers have been good even though I rotate through abdomen and thighs. I have enough fat on my thighs that it’s still considered a subcutaneous injection.

However, if you have skinny legs (I’m so envious) then yes, avoid the thighs if you’re injecting into muscle. It certainly would be more painful !

@calofmichigan My abdomen got fatter from belly shots. I asked my MD and he said okay to inject in thighs. Now a clinical educator called me today and said better absorbed if injected in the abdomen....I'd prefer to inject in the fat of my thighs. The educator wouldn't comment on why Forteo a similar drug is allowed in the thighs. Does anyone have any documented information that absorption of Tymlos is optimum in the abdomen. I'm thinking maybe it was only studied in the abdomen but the educator wouldn't commit to that. TY

I know they recommend only injecting in the abdomen, but I’m a surly old RN and have been rotating Tymlos sites between abdomen and the tops of my thighs for over a year. I keep a little notebook to write down the date and site. Labs show I am still building bone. Fat is fat at the site.
Occasional bleeding is normal. You’re probably hitting a tiny capillary spot on. Nothing to worry about.
Here’s how I do it:
Left ab
Left thigh
Right thigh
Right ab
Repeat
“Check with your doctor, blah, blah, blah.” ; >