← Return to Forteo (teriparatide) followed by HRT: My Experience

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@ioana
I've read that study as well, which suggests slightly greater BMD gains with morning dosing. This finding hasn't been followed up in larger trials, which may explain why it hasn't led to any formal recommendations.

Coincidentally, i injected at night during my first year (mainly to "sleep off" any side effects), then switched to morning injections during my second year. I saw similar gains for lumbar spine during both periods, with the exception of noticeable bmd gains in the total hip and femoral neck during second year - which is not unexpected, since hip and femur neck tend to respond more slowly and are harder to improve.

I'm now in maintenance mode with HRT, with periodic bone turnover marker testing and yearly DXA scans. My next DXA isn't due until 9/2026, and we'll see then what the data show.

Are you on Forteo now, and thinking about HRT as a next step after Forteo?

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Replies to "@ioana I've read that study as well, which suggests slightly greater BMD gains with morning dosing...."

@mayblin Can you tell me what HRT treatment consists of? I’m going on my second year of Forteo and am interested in post 2nd year options. Thank you!

@mayblin
I read ur post and was happy to hear that Forteo is working for u. I have severe osteoporosis and have bilateral hip replacements so my ortho surgeon told me that I must do something for my osteoporosis. I was prescribed Forteo but have not started taking it yet. I was told I will need Fosomax or Reclast after Forteo. I am afraid of bisphosphonates bc I have alot of dental problems and I have many teeth that are capped but might need dental implants in a few yrs. I am on a .075 transdermal estrogen patch and was wondering if that could hold my gains from the Forteo. From reading ur post it sounds like the HRT is holding ur gains. Can I ask u if u think a transdermal estrogen patch could hold my gains? Thank u for reading this and for any suggestions. I wish you healthy bones! : )