@gently and @darla1 I respectfully disagree that Tymlos is not the drug for you, darla1. I really think you might want to try a lower dose before deciding on that.

I could not tolerate Forteo at all and the dose is not adjustable. I even saw an immunologist to try to get on. This was before Tymlos was available.

So everyone is different. But full dose of Tymlos sent me to the ER before I came up with the plan to start with a low dose and ramp up.

I initiated info on starting low, and doing partial doses if necessary, on this forum. My doctor is head of endo at a top hospital and tells me he has incorporated this strategy into his own practice after my success with Tymlos. So many quit after trying a full dose because it is hard to tolerate.

Start at two clicks and move up. You can probably move up quickly (every few days) until you get to 4 clicks, then slower ramping up helps. Even 4 clicks is therapeutic (my doc says and studies show) and over time you can try to get to 6 or 7. The adjustable pen for Tymlos is key.

Many doctors are constrained by the studies done and the directions for use that resulted from the manufacturer. Your doc may not be able to suggest this. But you can do what you prefer to do and tell your doctor what you are doing.