I am just completing my 10th month on Tymlos. I've had very little reaction. Similar to you at the beginning, but very slight, nothing that made me feel nervous or that I wanted to quit. I too was told, and all the research I've read supports, it needs to be followed up with something because you start losing the bone you built up. It's not like a bisphosphonate or prolia that stays in your body for a while. I am going to follow up with a 6 month iv dose of reclast. i didn't want the full dose in order to minimize any reaction. I may then do a second 6 months and then nothing for some years.