@heyhey I am going through the same as you are right now. I have consulted with two endocrinologists and both would put me on Reclast but I brought up Tymlos because my scores are such that I think I should build bone and then maintain it. They both felt that was a good plan but had hesitated to suggest Tymlos due to the cost and it can be difficult to get approved. At this point, I am thinking I will start Tymlos after the first of the year, assuming Medicare will contribute to the cost. I have been told by others that whether or not Medicare approves it is based on how bad your DEXA scores are.

After taking that for two years I will need to go on something else, either Reclast or something similar. It's a very difficult and scary decision when side-effects are considered. I realize that the horrible side-effects only happen in a very small percentage of people but there seem to be a lot of bothersome side-effects also, and like you, @catharbert I tend to get side-effects frequently, often very rare ones.

@catharbert What side-effects did you have from Tymlos other than fatigue and a general feeling of being unwell? Did the doctor think those side-effects might subside after a while as happens with many drugs?
Thanks for your response.
JK