@tkdesign so you are off the drug now?

@tkdesign I am also very med sensitive, but pushed through as fractures were so painful. Initial side effect of some leg cramping and headache and tummy upset, but those past after a few weeks and well worth putting up with. I believe Forteo has the least side effects from what I have read and experienced, with the best benefit in building bone.

@tkdesign I'm sorry to hear that you're very medication-sensitive, that can definitely make starting a new medication more challenging.

When I was on Forteo, I experienced tiredness for the first 5-6 weeks, which is listed as a common side effect. In my case, the underlying issue seemed to be a drop in blood pressure (24/7), which improved with increased fluid intake and at times, salted water. For reference, I weigh ~115 lbs.

Forteo pens do have "clicks", but they don't correspond to fractional doses. As a matter of fact, the Forteo pens must be fully loaded or it won't deliver a dose. To my knowledge, the biosimilar teriparatide pens on the market aren't dose adjustable either.

Occasionally we hear about every-other-day dosing being used; my endo mentioned it as well - I'm sure there are good clinical reasons for it. That said, I'm not entirely sure about the consistency of the outcome from reduced dosing. Without a titratable pen, every-other-day dosing could potentially serve as a stepping stone toward full dosing to achieve therapeutic results - discuss with your doctor. Hope you're able to give it a try, and best of luck to you.