I was on Tymlos for 18 months I took self injection at 4:00 in afternoon .It was fine
and it depends on your personal schedule...if you miss your time you can take it later but must be the same day.
My energy level is later in the day, so it worked for me..I started Feb 2021 and not working after Covid.
I had 5 painful spinal cracks in a short period of time and 5 kyphoplasty outpatient surgeries and my back was fragile My neurosurgeon said I NEEDED to take Tymlos to stop the cracks and it did! I started Tymlos with an ARNP after my last surgery who my Neurosurgeon recommended ....I also take Vitamins D3, K2, and B12 per my ARNP I'm in my 70's.. Hope this helps..