Yes, I agree with you that you have to take an anabolic medication first before Prolia. I have asked my doctor to see if my insurance will cover Forteo. I did speak to a representative at my insurance company's specialty pharmacy and they did indicate it was covered through the mail pharmacy. I will see what they say when my doctor inquiries about Forteo. My t score is -3.4. Went from -2.3 in my lumbar spine to -3.4 in 2 1/2 years. Going to see a functional doctor to check my gut as endocrinologist didn't do that. Could be that I'm not absorbing all nutrients through my diet and supplements?