@shbo , if you choose Tymlos, you can titrate up to full dose, and give your body time to adjust. I got a bad reaction to the first full dose, so I started over with just doing 1 click for a few days, then 2 clicks for a few, 3, ... etc. I personally can't handle more than 5 clicks (of the 8 in a full dose), and I've been on it for 11 months. My Dr agrees to let me stay at 5 clicks, and I'm getting great gains, even at partial dose. If I travel domestically, I'll take it with me, but internationally I usually just take a break, and start back at a lower dose when I get back, work my way up again. If I was to go for a one or 2 month trip internationally, I would probably consider taking it.

I agree with @cathyf31 about the order- she nailed it. Insurance companies don't like to cover the builder drugs like Tymlos because they are more expensive, so you need to fight for it. Read and learn as much as possible in this forum, there are threads for everything.