I wanted to add to the conversation regarding product and price. I am in India for an extended period of time and decided to check on my Osteoporosis with the Endocrinologist (great qualifications) here. After reviewing my history and my Dexa, he advised me to take Gemtide injections daily for 2 years and then go back on Fosamax.
It is my understanding that Gemtide is similar to Forteo (synthetic parathyroid hormone). I did some research and am now on my second month with no ill effects thus far. The injection costs Rs 4,000 (approx 40 USD) and the pen comes with 28 doses. The difference in price is mind boggling - I don't believe there is a compromise in quality either.