Hi mike, I'm so sorry that your mom is going through all this.  Do you have a University Medical center near you?  If you can find a specialist for osteoporosis at an institution like that, you should have better luck.  Also look for an osteoporosis center within the hospital.  I'm not familiar with your area, but there must be a good Univ Med Center near by, and hopefully one with an osteoporosis center and orthopedic clinic.   Does your mom have any metabolism problems like low or high calcium?  When patients have high calcium (hypercalcemia) Dr.'s will be reluctant to use Forteo.   Here's another article on Forteo, from the Cleveland Clinic, that may be of some help to explain who can and can't take this medication.   I hope you can find a Dr. near by that can help her out and if you have any other questions just post again.