I sure wished my BP would go down instead of up then there would not be any side effects. All my problems stem from the high BP and pulse. My heart pounds too fast and pressures on my chest. And then some night nothing but the bad nights outweigh the good and I am fatigued and then do not get anything done. But I can tell that I quit Tymlos and felt better about being on it. And I still have three months' supply in the refrigerator. I hate to waste it. Maybe with cooler weather and winter coming, I would do better with it. Or try as one put it that they give the injection and then do their exercises. Maybe that would keep my BP down. How to know what is the best approach. I am glad others can tolerate the side effects if any. Thanks for sharing your experiences. It sure helps to know one is not alone. Now where do you go next on your journey to building bone? KLH