Good evening @mspatart. I sure am sorry about your fatigue related to Tymlos. In my experience with 2 years on Tymlos, I do not recall an increase in fatigue. However, fatigue appears to accompany pain, at least for me. It just wears me out. Even today........after an hour of MFR (myofascial relief therapy) and an hour shopping at Costco.....I came home and jumped into bed for a two-hour nap.

However, I do have SFN (small fiber neuropathy) and the pain from that can wear me out rather quickly. Then there is the barometric pressure. Anything below 30.00 can increase pain and expose me to additional fatigue.

I wish there really was an energy treatment. Throw in some natural aging issues and I will be nodding off over in the corner.

May you be safe, protected, and free from inner and outer harm.
Chris