My cardio didn't know and googled it! A pharmacist or maybe a rep from the Tymlos company (Radius) could tell you more- ?

By the way my endo doc is chief of endo at a top hospital in the country and not only approves of the way I started Tymlos at a low dose but said he is now using that idea with other patients. So if your doc balks maybe you can tell them that it is top-doc-approved!

I started at 2 clicks too on Tymlos. Windyshores has saved many of us here because many of us didn’t know we could start low. Many doctors are not for starting at a low dose but they don’t understand it’s either that or possibly not doing it or dropping out if the dose starts out too high.
Thankfully this medicine can be adjusted by the patients themselves ( many of us here) for those of us who need a slower progression.

I'm from Oregon too (and I LOVE and miss my trees!). You may already be familiar with these osteoporosis doctors but just in case you are not, Dr Chaim Vanek and Dr Patricia Burford are both endocrinologists and specialize in osteoporosis. They are located in Portland. Very difficult to get an appointment and you may have to wait a year as a new patient but you can get on a wait list and may get an earlier appt once you are in the system. They both know their stuff.
Since I had always exercised, I was really confused about how to move forward safely and effectively. Burford referred me to a PT that was well versed in osteoporosis. The PT was terrific, knowledgeable and really taught me how to move safely. She was located outside of Portland. I wish I could remember her name but if I find it, I'll post here. If not, perhaps you could call Burford's office and maybe they will give you that info.

@ilovetrees What is the name of the Portland Clinic that specializes in osteoporosis?