@jmla just want to emphasize that many days I DID have side effects but considered them tolerable. Especially in the context of fractures! I don't want to give the impression that ramping up got rid of side effects entirely or that I stopped going up on the dose when I had any side effects at all. It is strange, some days no side effects and some days more. Overall grateful to be able to take Tymlos! Good luck with whatever dose you end up with!