Thank you for your feedback regarding your personal experience with Tymlos. I also started slowly with Tymlos a month ago. Side effects were manageable until I recently got to '7' clicks. I am taking injection at bed time to sleep off vertigo side effects. Drinking 2 qts water every day, eating every 2-3 hrs to keep blood sugar up. But next day after '7' clicks I was still experiencing intense exhaustion/brain fog all day, into the evening. Now, back to '6' clicks again & feeling much better. My Dr. suggests alternating '6' clicks with '7' clicks every other night to see if side effects get slowly better. Staying hopeful.