@06111945cc would you also consider switching to Tymlos, which works in a similar way as Forteo? I could not tolerate Forteo. I did tolerate Tymlos for two years mainly because the injection pen is adjustable. Some of us try a lower dose (1/4 or 1/2) and either stay with 1/2 or move up to 3/4 or evcn full dose. I did Evenity after Tymlos for 4 months, but I liked Tymlos the most of all the meds I have tried. None of them seem to be without side effects for me but Tymlos was, for me, the gentlest and very effective.