I've been on Tymlos for 3 months now. Initial side effects were bothersome, but tolerable. I started at full dose. They subsided within two weeks. Included hot flashes, morning headache, and insomnia. (I take shot at night just before bed due to dizziness/low BP for about an hour after taking. I've been on various meds throughout life for other issues and generally, my body adjusts over time. If I'm still struggling after two weeks, I re-evaluate). Now, only remaining side effects include dizziness/low BP after injection, which I don't notice because I'm sleeping, and late afternoon fatigue.

Good luck. You deserve to be well.