@06111945cc As I wrote, I could not tolerate Forteo at all but did two years of Tymlos. If you have been reading this forum, you can see that some tolerate Forteo better and some tolerate Tymlos better (especially with the adjustable dosing). I disagree with your doctor but understand you have to work with them. Maybe you could mention the adjustable pen. I had 20% gain in spine with less than full dose. My doctor is fully on board with titrating.