@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.