I had side effects with Tymlos when I took a full dose or even a half dose, but I am sensitive to meds and have occasional atrial fibrillation, migrianes, lupus, so am not a good example.

I was determined to get on it, and so I talked with my doc and we agreed I would start at two out of 8 clicks and ramp up. Lately I have been taking a full dose with few or no problems. It has been 15 months on a therapeutic dose (7-8 clicks).

I have a DEXA in March but my kids are amazed at how much stronger I am. It helps bone quality as well as density. I recently walked 22 miles in two days. Two years ago I felt disabled (fractures, which do heal anyway but leave pain and limitations behind).

My doc says he will never prescribe Prolia for me . You cannot stop Prolia without going on something else immediately. He joked he might prescribe it just before retiring so he would not be around to deal with the consequences.