@mj20 like Chris I am sensitive to meds and I am small. My endocrinologist wants me in the hospital office if I ever do Reclast, and he wants to try 1/4 dose first. The thing is, Reclast hangs around in our bodies for a long time, so if there are side effects, you have them for awhile.

I tried Forteo and could not tolerate it. I saw an immunologist to try to get on it, years ago, before Tymlos was available.

I don't know why your doc suggested Forteo instead of Tymlos. They work in a similar, if slightly different, fashion through the parathyroid. Both build bone, and quality bone, because they don't affect resorption the way Reclast and Prolia do.

Tymlos comes in a pen with 8 clicks. As I have written before, I reacted to the full dose, regrouped, and started with only two clicks, then moved up to 7 for the past year. I feel a lot stronger.

Tymlos gives a strong foundation of quality bone, I have been told, before maintaining with Reclast, which stops resorption but does not have the same active bone-building ability.

I know it feels overwhelming. Maybe you could see a second doctor. To simplify, there are anti-resorptives (Reclast and other bisphosphonates, and Prolia), bone- builders (Tymlos and Forteo), and Evenity, which is both. I am saving Evenity for the future.