Shots are no big deal. I am on my second try with Tymlos. Side effects were too overwhelming on my first try. Now I am ramping up, starting with two out of 8 clicks on the pen and holding at each dose for a week or two. I am up to 5 clicks with no side effects and if I get to 6 I will be happy. Docs are on board with this and one even suggested it. I may still be helped even with 4 clicks, which is a half dose, but am definitely making it to 6 next week.

@dgm123s I am using Tymlos and after initially having some mild headaches the only side effect I have is what people are referring to as "puffy belly". It's basically fluid retention in the belly area. Not everyone has it but I definitely do, as do quite a few others. I never had a rapid heartbeat from it but I may have had some other very mild side effects, so mild that they really were not a problem which is probably why I am not recalling them very well.

If you qualify for your insurance to cover Tymlos then I definitely think it's a great option. If you are on private insurance (I'm on Medicare) there are also grants available making the cost reasonable or even free for some people. Unfortunately, if you are on Medicare the only way to get a price reduction is if your income is below $60,000. Although the initial months are pretty costly, they do put you into the "donut hole" fairly quickly and then the cost is greatly reduced.
JK