I have never fractured. I was diagnosed with osteoporosis seven years ago when I was 66. My lumbar spine T score was -4.1. I tried bisphosphonates but they upset my stomach. I then took Forteo for two years and improved to 2.9. After the first year on Forteo, I asked my endo for a follow up DEXA scan and was told that my insurance wouldn't pay for yearly bone scans. After doing my own research, I discovered that with a diagnosis of osteoporosis, Medicare WILL pay for a follow up scan to verify a drug is working. I wanted to make sure the Forteo was really helping me before continuing a second year. Do your own research, because not all doctors are helpful.