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Dosage Adjustments On Tymlos Pen

Osteoporosis & Bone Health | Last Active: Oct 1 7:20pm | Replies (127)

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@windyshores

My calcium is also high normal but my doc was not concerned. I take 800mg calcium rather than the suggested 1200mg. I can't eat dairy.

Can you reduce your calcium intake?

I believe Tymlos' increase in calcium levels is transient. It matters when you have your blood tested. Don't take Tymlos before hand. And don't take any calcium 24-48 hours before the blood test. That is what I was told.

I would not expect to avoid all side effects, as you know: tolerable means different things to different people. It sounds to me like your doc is very cautious and conservative, which can be good or bad! I personally kept pushing my dose up as I was able and my calcium levels did not change.

Is an endocrinologist treating you or a PCP? Do you have any heart issues or issues with electrolytes? Is your parathyroid okay?

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Replies to "My calcium is also high normal but my doc was not concerned. I take 800mg calcium..."

I appreciate this information. I don’t have heart issues or problems with my parathyroid. I don’t take any calcium supplements as I get my 1200 mg in my food. I’ve gotten more careful not to exceed the 1200 which is easy for me to do because my favorite foods all have loads of calcium in them. 🙂 When I had my recent bloodwork it was before I started Tymlos.

I see a rheumatologist. He’s a fantastic doctor and an osteoporosis specialist. He has indicated to me that 40mcg is a therapeutic dose, and everyone’s tolerance is different, but I’m the type of person who would rather take the highest tolerable dose. I will most likely try 50mcg to see if I can live with it and then tell him and see what he says. If I feel the same as I do on 40, and it won’t impact my calcium levels, I would want to increase. It’s only been 2 weeks, so I’m very glad to have adjusted downward, which eliminated the really bad effects of the full dose. The full 80mcg is hard for those of us who need to allow our bodies to get used to it.

Hi Windyshores
Hope you are doing well.
I am curious about electrolyte issues. I have trouble with that. Can that be an issue with tymlos?