Hi, I'll weigh in about the blood pressure drop. Your BP numbers are my numbers. Anyway, Tymlos will reduce your blood pressure -- that's what accounts for the tachycardia. ( If you haven't read about that part, welcome....) The increased hear rate is your heart is trying to make up for the drop. Anyway, to deal with the tachycardia, which is distressing but apparently not dangerous, the Tymlos nurse recommended that I lie down and elevate my legs. It absolutely works. Yes, it turns the injections, which take seconds, into "a thing" that can last 15 minutes for me, but it's worth it. I generally inject before going to bed so lying down doesn't become too big a deal. Good luck on Tymlos. I found it a difficult adjustment. I am 3 months in and only up to 4 clicks, occasionally 5. Ramp up slowly.

@candy209 I also have low blood pressure- the same as yours. I bought a home blood pressure monitor and used it at first before, and after, my injections. I hydrated well and sometimes ate something salty. Not sure if the salt was useful but it made me feel safer psychologically.

It does lower bp, but I was okay. I have afib that can be triggered occasionally and was afraid of that recurring, but when I started at two clicks and moved up slowly, I had no heart issues at all.

I think you are going to be 100% fine at two clicks of the pen, to start, (let your doc know) and will be able to move up to a therapeutic dose within a month. No need to be nervous about that low dose so maybe that is a place to start. Buy a blood pressure cuff at the drug store. Noone has had any serious heart or bp issues with Tymlos but might as well try to avoid the fears.