There were no lipid profile changes during Forteo treatment in my experience. I worked on my LDLc and triglycerides - my labs were stabalized before the diagnosis of osteoporosis and they didnt change much during use of Forteo even with increased protein intake. To me, eliminating processed food (carbs) did wonders to my trigliceride readings and cutting down saturated fats from animal sources helped a lot in reducing LDLc.

@bluebonnet242 yes I think it applies to tymlos also although total serum ALP is not sensitive enough as a marker for bone formation. The bone-specific ALP changes a lot less in magnitude during antiresorptive or anabolic therapy when compared to P1NP. This might be one of the reasons that the International Osteoporosis Foundation recommends P1NP and CTX as bone formation and resorption reference marker respectively, in clinical studies.