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@lazuleo

I started on 2 clicks, then 4 clicks a week later. My endo (and reading from different groups) said that since I was 87 pounds and 4'8", that 4 clicks would be effective. I did try 6 clicks, but went into tachycardia for 24 hours, so I am now backed down and instructed only to use 40mcg and we will see in a few weeks how I am doing. I do want to get the full effect, but maybe I am since I am half the size of some of the people using the full dose.

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Replies to "I started on 2 clicks, then 4 clicks a week later. My endo (and reading from..."

@lazuleo I went into afib after 8 clicks (not certain Tymlos caused it but...). I am fine now at 7 but it took quite a long time.

If you can tolerate 4 clicks why go up to 6? There is no hurry. Try 5 clicks for a month. Then try 6. IF side effects are bad at 6, back down again. The body does tend to adjust but apparently we ultimately have a limit. I am small too and cannot do 8, as I wrote before.

This is very interesting to me, and makes me think I need a new doctor. I am only 5' tall, and weigh about 89 pounds, and neither of my physicians have suggested that the full Tymlos dose might be too much for me. But after months of making myself sick -- nausea, headache, palpitations -- on this drug, I am definitely going to go to a reduced dose. BTW, rheumatologists have been directing my care. Would an endocrinologist be more knowledgeable?