I started with two clicks and moved up slowly. After a month I made it to 6 clicks, which my endocrinologist was really happy with. I alternated 6 and 7 for awhile and now do 7 clicks every day. I tried for years to get on to Forteo which is full dose only.

Side effects at first may include headache and dizziness, and brief fast heart beat. I had those when I started at 4-6 clicks. But not when I started lower. I still have some weakness but only maybe 2 days out of 6.

I cannot say that there are no side effects. I can say that even on a day when they are very noticeable, they fade in 3 hours or so.

The thing is, I have several fractures. I would stick with this no matter what. It is harder to feel motivated before fracturing. I wish I had found Tymlos earlier! I has assumed the same problems as I had with Forteo and tried to get into a trial for the Tymlos patch, and fractured in the meantime.

My doc said we would lock in gains with Reclast but maybe 1/4 dose and then I can take a break from all meds as long as I am monitored.

ps I had breast cancer and those meds did cause more bone loss