Forteo weight gain…anyone experience this?

Posted by penk0213 @penk0213, Apr 16, 2023

I have gained weight recently at the 3 month mark of using Forteo. It is not listed as a side effect.

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@tricia225

They won't do anything. I called the manufacturer and the specialty pharmacy, each assuring me that they are required to report it all to the FDA. Being that I told them this six months ago and haven't heard or read anything, I am doubtful anyone is looking at it. Thanks for the suggestion, though!

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FDA compiles incoming reports and looks for trends, the number of such reports, etc., etc etc.

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@leeosteo

Hi tricia225. My endo has suggested Forteo. I haven't started it yet. Are you using the brand name Forteo or generic brand Teriparatide? Just curious as these are my options. Thanks

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Hi @leeosteo Just curious, is there a difference with your copay and coverage between generic teriparatide and Forteo? (My HMO only prescribes Forteo and not generic teriparatide.)

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@tricia225

Hi and sorry for the delay in responding. I am using the brand name Forteo. There's a shell game between the specialty pharmacies and the manufacturer and, somehow, this 'copay' arrangement works and I haven't paid for any of the medication, so far.
I would encourage you to stick to the brand name as the generics are typically diluted or cut with other agents. Just my perspective.
Good luck!

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tricia225, thanks for your reply. Is your insurance through medicare..... plan D (original medicare) or medicare advantage? For original medicare, I know Plan D can vary. Just curious. I'm on original medicare with Plan D through Aetna.

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@ssapp1

I have been on both Tymlos and Teraparatide. I am on teraparatide right now. I actually prefer Tymlos. I am going to ask my endo if I can go back on it. I had better gains on it. I haven’t experienced weight gain on either one.

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ssapp1, why do you prefer tymlos over forteo? What are gains you experienced on Tymlos e.g., 5%, 10% over Forteo? My endo has suggested Forteo, Tymlos or Evenity. I'm leaning toward Forteo because it's been around longer and well tolerated by most.

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@tetris

Hi @leeosteo Just curious, is there a difference with your copay and coverage between generic teriparatide and Forteo? (My HMO only prescribes Forteo and not generic teriparatide.)

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tetris, I haven't researched the cost difference yet.. between Forteo brand name and teriparatide generic yet. My Plan D (original medicare) covers both. I suspect the generic would cost less. I'd rather take the brand name because you never know if the generic formulation is the same.

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@leeosteo

ssapp1, why do you prefer tymlos over forteo? What are gains you experienced on Tymlos e.g., 5%, 10% over Forteo? My endo has suggested Forteo, Tymlos or Evenity. I'm leaning toward Forteo because it's been around longer and well tolerated by most.

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@leeosteo
I am not sure of the percentage gains over Forteo, but at least 5%. Tymlos you don’t have to refrigerate, although I did, not sure why. It has an adjustable dosage. I had gains in all areas. On Forteo, actually I am on tereparatide, I had some gains and some losses. My insurance would not cover Forteo, but would cover Tymlos or tereparatide. Hope that helps.

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@ssapp1

@leeosteo
I am not sure of the percentage gains over Forteo, but at least 5%. Tymlos you don’t have to refrigerate, although I did, not sure why. It has an adjustable dosage. I had gains in all areas. On Forteo, actually I am on tereparatide, I had some gains and some losses. My insurance would not cover Forteo, but would cover Tymlos or tereparatide. Hope that helps.

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ssapp1, this does help. Where were your losses?

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@leeosteo I will find my paperwork this week and give you the specifics

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I could not tolerate Forteo. I even visited an immunologist to try to get on. I have tolerated Tymlos because the adjustable dose allowed me to ramp up, and for most of the time I did not even take a full dose. But gained 20% in spine and 9% in hip. Tymlos is very effective for spine.

I have seen comparison charts and they are very similar but Tymlos came out slightly ahead. It has been around a lot longer then Evenity, which I felt was too new but many docs seem to be prescribing it.

I initially lost weight on Tymlos. Maybe some people eat more to settle nausea down-?

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I also gained weight, on reclast. very distressing

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