I just recently started using Tymlos. Do the arrows mean half dosage?

Posted by shelleyann1987 @shelleyann1987, Jun 23 9:41pm

I have been using Tymlos for 12 days now. I had severe headaches, and nausea almost every single day all day long. My PA suggested to try every other night. On my pen it only has two clicks. The second click is two arrows. Does that mean that is half the dosage?

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hi, shellyann1987. I've never taken Tymlos, but thanks to zygoyte we know that
zygote | @zygote | Dec 11, 2025
In reply to @rileyf "Can someone tell me what the two black arrows mean when you click on the Tymlos..." + (show)
Each click is 10 mcg. To see the 2 directional arrows in the window together, you would have had to had 4 clicks which is 40 mcg. The injection is programed at 8 clicks or 80 mcg, so the answer would be yes, the 2 arrows would be 40 mcg or 4 clicks.

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Thank you so much!!!! It made such a difference to only inject 40mcg. I appreciate you taking the time to respond!!

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I had my first injection yesterday and thanks to information on this forum - just did 2 clicks. That would be 20 mcg I think.
No issues but this morning I overslept and woke up at 10:30!
I felt woozy, dizzy and disoriented!

Gradually getting better but wow!! Wondering if I can do this…

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Leslie, it sounds like the calcium effect. Usually it clears in 4-6 hours after the injection, though. It will be interesting to know how long it takes for the dizziness to clear. Did you take it at night?
The evening injections are a little more tricky because no one wants to be too hydrated and taking caffeine isn't the best for sleep. Did you have something salty.
You might try one click for a few days.
I hope it works out for you. But there's always Forteo.

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I’m hoping Tymlos is better due to being able to titrate the dose up gradually. I took it at 5 pm yesterday and didn’t notice much difference in how I felt.
But this morning- wow! I was just knocked out. I made myself get up and exercise some on my elliptical.
Better now but wondering if it gets easier and if I can go up to at least 40/half dose?

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I am better! Gradually moving it up towards the early part of day. Getting #3 now.
Did anyone have trouble sleeping after taking it?

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Profile picture for 2121 @leslie2121

I am better! Gradually moving it up towards the early part of day. Getting #3 now.
Did anyone have trouble sleeping after taking it?

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@leslie2121 I have trouble falling asleep. Then I’m up at 4:00am

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Same! Hoping if I move the injections to morning it won’t keep me up.

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Profile picture for 2121 @leslie2121

Same! Hoping if I move the injections to morning it won’t keep me up.

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@leslie2121 why is it keeping you up? Discomfort or insomnia?TY

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