Forteo daily shots for 18 months

Posted by lucy5812 @lucy5812, Dec 21, 2025

My doctor wants me to start the Forteo daily shots for 18 months. I have severe osteoporosis in the lumber area
He told me that he strongly believes in those shots , and once I do the entire 18 months my bones will build back up and I do not need any medications after that .
Anyone that have done these shots ? Any feedback please?

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Profile picture for lkel @lkel

I did Forteo for 24 months. It went very well. My endo put me on Fosamax (Alendronate) after that.

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@lkel
Thank you so much for the feedback

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Profile picture for lucy5812 @lucy5812

@bswpb
Thank you so much for the feedback
All the best

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@lucy5812 honestly I don’t know a good answer. It’s unfortunate that insurance only covers DEXA scans every 2 years to see if alternatives are working. This stuff can make you crazy with worry if you let it! I am not happy with Prolia but it is what it is! I finally had to give it all to God and let it go! I hope you find what works for you! Have a Merry Christmas!

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I did 24 months of Forteo in 2016. followed by one shot of Prolia and then 5 years of Raloxifene . I am now on Teriparatide for 18 months and then may risk another shot of Prolia followed by Ralozifene again. I found not tolerate Bisophomates and perhaps this is why Forteo worked so well for me. It does seem to have some slight side effect of a bit of brain fog and stomach upset for me, but I am very grateful for this medication.

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Profile picture for kar50 @kar50

Hello Lucy, good luck with your decision regarding Forteo. I have been injecting Forteo for 13 months with no side effects. I inject at night before bed. My 6 month blood tests (calcium serum, albumin, Vitamin D) are fine. I supplement with additional calcium. My only concern is that my endocrinologist and health plan don't do DEXA scans until 2 years on Forteo, so I have no data on the bone building. However, I feel stronger and when I recently tripped on an uneven sidewalk and severely sprained my ankle, I was surprised nothing was broken, it was a bad fall on concrete, so maybe my bones are stronger? Yes, I understand that after 2 years you must transition to a biophosphate to maintain bones, and I am very concerned about this. She is recommending Recast but I need to research before I make this decision at the end of 2026. I researched and was hesitant for a long time before starting Forteo, but I am glad I made the decision. Good luck to you.

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@kar50 Regarding the need to wait for two years before health plan covers Dexa scan, I am doing a self-pay Dexa after one year. I got a cost estimate from hospital, and found it not high priced. Also found I can make $50 monthly payments. Knowing my one year Dexa numbers is worth the cost to me.

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Profile picture for tonilynn @tonilynn

@kar50 Regarding the need to wait for two years before health plan covers Dexa scan, I am doing a self-pay Dexa after one year. I got a cost estimate from hospital, and found it not high priced. Also found I can make $50 monthly payments. Knowing my one year Dexa numbers is worth the cost to me.

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@tonilynn I am curious whether those of you who say insurance will cover DEXA ONLY every 2 years are Medicare eligible? If so, you might want to check out the 2 year rule when you are receiving treatment. My understanding is that Medicare allows DEXA every year during treatment.....and my not generally well-informed PCP actually knew this.

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Profile picture for rjd @rjd

@tonilynn I am curious whether those of you who say insurance will cover DEXA ONLY every 2 years are Medicare eligible? If so, you might want to check out the 2 year rule when you are receiving treatment. My understanding is that Medicare allows DEXA every year during treatment.....and my not generally well-informed PCP actually knew this.

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@rjd Thank you. Good to know and will check that out. Right now I have not yet started treatment, so am prepared to self-pay if needed.

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Profile picture for tonilynn @tonilynn

@kar50 Regarding the need to wait for two years before health plan covers Dexa scan, I am doing a self-pay Dexa after one year. I got a cost estimate from hospital, and found it not high priced. Also found I can make $50 monthly payments. Knowing my one year Dexa numbers is worth the cost to me.

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@tonilynn
I was told by a dxa tech that the cost is much lower at clinics outside of hospitals, but I haven't checked.

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That 2 year interval may be for screening DEXA's. If undergoing treatment, different rules my apply. Similar to mammograms and colonoscopies.

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Profile picture for bswpb @bswpb

@lucy5812 honestly I don’t know a good answer. It’s unfortunate that insurance only covers DEXA scans every 2 years to see if alternatives are working. This stuff can make you crazy with worry if you let it! I am not happy with Prolia but it is what it is! I finally had to give it all to God and let it go! I hope you find what works for you! Have a Merry Christmas!

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I needed a DEXA Scan one year after I had one. Insurance covered it because the doctor requested it. I was starting Tymlos and we needed to have a baseline number to compare later, if the Tymlos was doing its job.
As a precaution, I got (in writing) the out of pocket cost, just in case. It was $100

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Profile picture for gowalking @gowalking

I needed a DEXA Scan one year after I had one. Insurance covered it because the doctor requested it. I was starting Tymlos and we needed to have a baseline number to compare later, if the Tymlos was doing its job.
As a precaution, I got (in writing) the out of pocket cost, just in case. It was $100

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Good to know. But not everyone has $100 for a co-pay!

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