wisfamily, thanks for this thoughtful warning.
The endocrinologist I see told me this morning that he will continue prescribing Forteo until my t-score is -1. He is a bone metabolism expert with 30 years of experience. He monitors everything with exacting scrutiny and orders labs meticulously. Plus he has a good personality.
Since the black box was removed the use of Forteo is shifting, but protocol is slow to change. Doctors need to be careful in selecting patients for longer term use. He has been ordering bone markers for thirty years when even now physicians are neglecting that valuable indicator.
I have a standing order for every three months.
I'm hoping the extended use of Forteo becomes standard; in my opinion Forteo and Tymlos build the strongest, most flexible, integrated bone.
Your concern is appreciated and significant because we have practitioners with a wide range of competence.