Hi-- I'm in the 110 pound club, too. I'm approaching month 5 on Tymlos and I'm only at 4 clicks-- it's all I can tolerate. I ramped up very slowly (I started at 1 for several weeks). I will be having a Dexa scan at month 6 to see if I have made any gains on the half dose. I will report to this site. I have had a lot of side effects and struggled to stay on this drug. It was often thanks to the support of the women on this site that I stuck with it. The tachycardia was the first issue I dealt with. I have managed that by lying down and elevating my legs after the injection. It absolutely helps. My other main side effect is serious hair loss, and this is psychologically very difficult to deal with. It might end up being the deal-breaker. So, recommendations for you: As so many other people on this site have recommended, ramp up the dosage. The time frame for upping your dose is utterly personal: people have reported going up each day-- some each week. Me? I was on each click for weeks at a time. Second--You'll probably need some time to get used to the shot. When I first started it hurt, left a red mark, and sometimes I even drew blood. Not good. I'm a pro at it now. Give yourself some time to figure out the injections. Feel free to ask more questions. Everyone here is so generous with their time and advice.