Honestly you barely get any Tymlos with one click. Are you sure it is making you tired? It is possible: I had side effects from a 10% dose of Forteo which seemed hard to believe, but it was consistently true.

In my experience the side effects did mostly go away at each level (but I never got to 8 clicks). In fact for me that was the whole point of ramping up. Keep at one click until you feel better enough to move up.

In my experience, there WILL be side effects. I was totally committed because of my painful fractures. Headache and nausea and palpitations all disappeared. I still had some dizziness at a higher dose, but not at 6 clicks. Fatigue remained at all levels but I stopped resting and got up and out and found that to be helpful. That's me but hope it helps you! Our bodies do tend to adjust to hormonal meds, I believe and I hope that is true for you.