@windyshores I think if doctors suggested starting low it might cause people to fear the drug more! They would immediately think there must be something to worry about if they start with a full dose.

Having seen on here that many people do go with a lower dose and work their way up if they have a negative reaction initially, I asked my endocrinologist if I should start low and she said no.

I think it's better probably that if you do have a difficult reaction to inform your doctor and then the doctor could suggest backing off on the number of clicks. If the patient is like me and like many people on Tymlos though, they will be fine with the full dose from the start.

You do mention headaches a while after which has me wondering because I do my shot before bed and on most mornings I wake up with a headache but it does go away shortly after arising. I wonder if Tymlos might be the cause of it. It is such a minor side effect though that it would not cause me to stop using Tymlos. It would just be nice to know what the cause of the headache is.
JK