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@dee5

Hi Chris - I am starting Tymlos in a few months. I was on Prolia for 4 years and then last March I fractured my femur. Which can be a side effect of Prolia. Then went on Forteo (terepartide) for 6 months but unfortunately had to stop as my calcium and phosphorus went up drastically. Now onto Tymlos. I am confused as to everyone on these posts are talking about increasing the dose gradually but when I spoke to the pharmacist at specialty cvs pharmacy, was told they have no idea what I was talking about. There is only one dose. Can you please explain how the pen works. Thxs

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Replies to "Hi Chris - I am starting Tymlos in a few months. I was on Prolia for..."

The pen has 8 "clicks." You can do any number of clicks up to 8. If you can tolerate a full dose, by all means do it. My doc was very happy that I started low and got up to 7 clicks out of 8. Tymlos has hormonal action and our bodies adjust to it. But some people can start at a full dose from the start.

Remember that doctors and pharmacists rely on what was done in studies. My doc is a top doc at a major hospital and would have been happy even with a half dose of 4 clicks versus not doing it at all.

Hi there @dee5. I see you joined Connect on Valentine's Day......a lucky day for both of us. I would like to introduce you to @windyshores, a current Tymlos user and a quite knowledgeable person who understands how the Tymlos pen "clicks" work. I completed my two years on Tymlos before that was an
option. Good luck to you and thank you @windyshores.