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What is best time of day to take Forteo?

Osteoporosis & Bone Health | Last Active: May 9 4:23pm | Replies (6)
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@rogerscott8562

I took Alendronate for about 45 days before taking FORTEO. I just finished my second month of Forteo. Markers and DEXA scan will come after 3 months of Forteo. McCormick mentions bone pain as a side affect in his book, Great Bones.
The medication guide lists pain, joint ache and nausea as common side effects. The did not get much pain in the first month.
My GP prescribed Alendronate. Upon reading Great Bones, I found that prescription unacceptable for a -4.5 T-score. I needed a stronger drug to avoid high risk of fractures for the rest of my life. As this discussion group shows there are a lot of ignorant doctors that can and do harm to patients. My specialist is doing everything right.

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Replies to "I took Alendronate for about 45 days before taking FORTEO. I just finished my second month..."
mayblin | @mayblin | May 9 7:32am

Prescribing information and post market experiences do not specify bone pain as a common side effect, from what I read. However, pain experienced as headache is more common. If bone pain persists or becomes bothersome, you might want to consult your endo. In theory, there shouldn’t be a drawback with timing of FORTEO injection, especially in regard to its anabolic effect. Maybe @gently have a different take? Endogenous PTH secretion is tightly regulated by blood free calcium level, without a circadian pattern. Basically our body has a mini or nano pulsing of PTH at any given time depending mainly on blood calcium level, and this regulated secretion of PTH maintains our bone health. A daily injection of FORTEO, essentially is a large daily pulsing or bonus of PTH analog. It is this pulsing that results in its anabolic effect. A genius invention.

It’s great that you started an anabolic. Your brief use of fosamax is unlikely to affect FORTEO too much. Do you have a baseline of CTX/p1np tested, before the start of FORTEO? It is interesting that you will have a Dexa scan at 3mo of FORTEO. May I ask why so early?

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