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.