@broken13 I am convinced, doctors practice medicine by not just what they learnt in school or in practice but also by their own convictions of what will work best for their patients. You could be a perfect example of that theory. Even though Forteo was labelled by FDA as a one- time (for two years) in life drug, doctors are deciding on their own, which of their high fracture risk patients will benefit from a second round of Forteo. I believe FDA now has removed the once in life for two years only Forteo label for namely the high fracture risk patients (as dictated by their bone - turnover markers, dexa scans and other assessments) to be given under careful supervision. You did mention they can no longer do bone density on your spine. Based on your current Femoral Neck & Hip T- scores, you do fall in the high fracture risk category. Additionally, with a previous fracture you are probably a good candidate for the second Forteo treatment (as decided by your physicians). Best of luck!