@giannam yes, for me, Tymlos has side effects. I take it in the morning and am fine in an hour or two. I think, as with any hormonal medication, that the side effects change over time. After 6 months, no heart palpitations, no nausea, no headache, just a feeling of weakness for an hour or two. It is worth is to avoid fractures! You have fractured ribs, and I have fractured vertebrae: I know I am committed to meds at this point!

I liked the option of Tymlos because the dose can be adjusted so I started with two clicks rather than eight, and moved up slowly as my body adjusts. To me the shots are no big deal but I respect your fear.

I watched a video of an interview with Lani Simpson and a woman who had done Tymlos and then Evenity. She indicated it was better to do Tymlos first, then Evenity. I don't know if that is true but it makes sense because Tymlos grows bone without suppressing resorption, but Evenity does both. I thought at the time that Tymlos might grow better quality bone, but I have no idea if that is true either. (Dentists need to know about Evenity, but not Tymlos.)

Evenity, I have read, "turbocharges" bone growth and so I seriously considered it instead of Tymlos. In the forums I have been on, very few people seem to have significant side effects from Evenity, besides sore arms briefly. Whatever you do, good luck!