Supplement Scholar
Bone

Teriparatide

Also: Forteo · PTH 1-34

The first 34 amino acids of parathyroid hormone; a daily injection that builds new bone in severe osteoporosis.

Overview

What it is

Most osteoporosis drugs slow bone loss; teriparatide stimulates new bone formation. It is usually given for up to two years to people at high fracture risk, followed by a bone-preserving drug.

Common forms

Daily injection pen
Mechanism

How it works

Intermittent activation of PTH1 receptors on bone-building cells increases bone formation more than bone breakdown.

PTH1 receptor agonism (intermittent)Osteoblast activationBone formation
↑Bone mineral density
↓Fracture risk

Hormonal impact

↑Calcium (blood)
↑Parathyroid hormone signaling
Evidence

What the research supports

Reduces vertebral fractures (about 65%)strong
Reduces non-vertebral fracturesmoderate
Safety

Side effects & interactions

Side effects

  • Dizziness
  • Leg cramps
  • Nausea
  • High blood calcium serious
  • Bone cancer in rats (label warning; not seen in human studies) serious

Medications

  • DigoxinmoderateHigh calcium can increase digoxin toxicity.
Stacking

Combines with

Pairs well

  • Calcium and vitamin DAdequate intake is needed for new bone.

Avoid combining

  • Nothing specific.
Community

Discussion

Experiences from people who have tried Teriparatide. Anecdotes are not medical advice.

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