When I took Forteo eight years ago, I had no response on DEXA at one year. Hip score actually went down a tiny bit and everything else stayed the same. I was very upset. My doctor told me not to worry, the bone building effects seen on the DEXA sometimes takes time. I continued on at for another year, and at the end of two years the DEXA showed significant gains in all areas. I believe sometimes the effects are delayed on DEXA. I would suggest talking with your doctor. In my case, the DEXA at one year was too early to show the results. I am taking Forteo for the second time now, after an eight year break.