I did Forteo for two years (age 65-66) and experienced 12.8% increase in spine and 5% in hips. I had no side effects, but also have no complicating health issues (except the quintessential thin, white woman who was on birth control pills for way too long). Forteo does need to be refrigerated, but I found a very cool wide mouth thermos on Amazon that could keep in cold for 36+ hours when I traveled. It is always difficult to choose the best path. Much luck to you!