@mmodestti yes. When I initially did a full dose, I landed in the ER. I had had afib a year before so I cannot say Tymlos was the cause, but side effects like headache, dizziness and nausea were not tolerable.

With 7 spinal fractures I really was determined. That is why I came up with the idea of starting at two clicks and moving up. I really minimized side effects that way. That is me. Everyone is different. Some days I had more, some days I had none at all at 6 or 7 clicks. I have done 8 clicks, the full dose, occasionally and still have side effects at that dose. I would say fatigue is really the only consistent one over time. But if I get up and out, that eases. Fractures have side effects too!