@lisaberkowitz Wishing you the best on your Tymlos journey. Just to share a bit more encouraging data from my Tymlos journey -I am now 21 days in and titrated up to 80mcg 5 days ago and so far I have had no side effects or concerns at all. I am doing the injections in evening in my belly, sleeping well and have no residual effects in the morning. It was very daunting to take that first step, but I am so glad to have. Again, wishing you well.