Side effects I had were several nights my BP was 205/189 and chest pains. During the day was fatigued and did not get much done. And then there would a few nights everything was fine. Also found out not to give the injection where a little capillary is. That caused me more pain. And we live on the farm and things have to be done and you can not skip chores. Then I wondered if I could go another 20 months of not knowing what side effects will come next. My lab work was great except for the high BP and my pulse(105). But reading every comment on the different drugs and their experience are they any better for me? Tymlos is supposed to be such a good bone builder. I have been through Fosamax and Reclast with no problem but I was younger then. So where do I go now is the question. Thanks for the reply. Be healthy and safe. KLH