I felt the same. It's hit and run for each individual with a particular drug. Unforturenately a few of us are outliers when our results are compared to the average that were achieved during clinical studies. Like @katwhisperer, I had a lackluster 1year results after forteo. Now looking at my frax score, it seems I have a relatively low 10yr fracture probability after all, before treatment as well as at 1yr after forteo. So I'm looking into a second or third opinion for long term management also. But we do need a good anchor doctor who listens well and who is a bit flexible depending on individual's needs.