I tried Forteo 5 years ago, but vertigo was non-stop & had to quit. Next I used Prolia for 3 years, but had to stop after developing MRONJ (jaw bone destruction). Now I am 2 months into using Tymlos. A full dose is '8' clicks, but I started at 1/2 dose, '4' clicks, & so far have only been able to work my way up to '6' clicks. My Doctor tells me '6' clicks is enough to assist bone growth. I take the shot just before bed to sleep off most of the 'tired/dizzy' side effects, but somedays I still have extreme vertigo the next day. Then I alternate '5' clicks one night, '6' clicks next night for a few nights until I feel better. Hoping to keep going on this regimen, along with bone strengthening exercises to improved bone health. Good Luck to everyone on your own individual journey!