Abaloparatide
Also called Tymlos
An FDA-approved prescription bone-building medicine for osteoporosis in adults at high fracture risk. It is not a general recovery supplement, and a research vial is not the approved pen.
Overview
What it is
A synthetic analogue of parathyroid hormone-related peptide (PTHrP) that activates the PTH1 receptor.
How it works
Activating the PTH1 receptor in a controlled, intermittent way stimulates new bone formation, rather than mainly slowing bone loss.
What the research shows
In ACTIVE, daily abaloparatide reduced new spine fractures versus placebo in postmenopausal women and improved bone density; high blood calcium occurred in 3.4% versus 6.4% with teriparatide. In ATOM, men gained about 8.5% spine bone density at 12 months versus 1.2% on placebo. In ACTIVExtend, women who switched to alendronate after abaloparatide had 0.9% new spine fractures over 43 months versus 5.6% in the placebo-then-alendronate group.
Studied for
- Postmenopausal osteoporosis at high fracture riskapproved
- Osteoporosis in menapproved, bone density
Safety and regulatory status
Safety and side effects
Possible side effects include dizziness, nausea, headache, tiredness, injection-site discomfort and lightheadedness on standing. Screening matters for high calcium, kidney stones and bone-cancer risk factors. It caused bone cancer in rats; whether it does in humans is unknown. The 2026 label also addresses severe allergic reactions. Lifetime use beyond two years is not recommended.
Regulatory status
FDA approved by prescription (Tymlos) for specific osteoporosis indications.
Mixing and dosing reference
Reference information only. Read before using this section.
Abaloparatide (3 mg Vial) Dosage Protocol
- Vial
- 3 mg Abaloparatide
- Add diluent
- 3 mL
- Concentration
- 1 mg/mL
- 1 unit (U-100)
- 10 mcg in 0.01 mL
- Route
- Subcutaneous
One-Vial Calculation Using the Human-Study Daily Amount
| Research Period | Amount per Administration | U-100 Units (mL) |
|---|---|---|
| 37 daily administrations (one-vial arithmetic) | 80 mcg | 8 units (0.08 mL) |
How to mix
- Clean the vial stopper and diluent stopper with alcohol; allow both to dry.
- Draw exactly 3.0 mL of bacteriostatic water with a new sterile syringe, then inject it slowly down the inside wall of the vial.
- Gently swirl or roll until dissolved. Do not shake.
- Label the vial with compound, concentration, and preparation date. Store it according to verified product-specific instructions.
Protocol source: PeptideDosages.com
Common questions
Is abaloparatide the same as teriparatide?
No. Both build bone through the PTH1 pathway, but they are different molecules with different side-effect findings.
Will I feel it working?
Probably not. Progress is tracked with bone-density scans and fracture history.
What happens after treatment ends?
Guidelines recommend following with a bone-preserving medicine to keep the gains. Plan this with your prescriber.
Related in Healthy Aging
Sources and further reading (6)
- DailyMed. Tymlos prescribing information, rev. Aug 2026.
- Miller PD, et al. Abaloparatide vs placebo on new vertebral fractures (ACTIVE). JAMA, 2016.
- Czerwinski E, et al. Abaloparatide in men with osteoporosis (ATOM). J Bone Miner Res, 2022.
- Bone HG, et al. ACTIVExtend. J Clin Endocrinol Metab, 2018.
- MedlinePlus. Abaloparatide injection patient information.
- Source summary: PeptideDosages.com research overview (rewritten for NVO).