I started at 8 clicks on June 19th but couldn’t manage the severe headache and back pain. So, I adjusted my dose to 6 clicks for the past 3 weeks and feel better. Decided to try increasing to 7 clicks when I start a new pen on the 18th. Will post an update on 7 clicks.

Saw my hematologist yesterday and, as an aside, was talking about Tymlos side effects. She said that the back pain is related to stimulation of the bone marrow.