Had a difficult apptmt with consultant recently. One issue - he wants me to start on Alendronic Acid (I have OP incl one spine fracture) but I want to consider alternatives first.. I queried whether I could pay privately for a course of Teriparatide (I wouldn't be eligible under the NHS) and then be re-assessed after that (bear in mind it's highly unlikely I could ever afford this but I still wanted to consider it). He said this wouldn't work as after the course of Teriparatide treatment I'd still need to start on a bisphosphonate. I found this odd as surely Teriparatide gives some permanent improvement but would welcome thoughts or sources of information. The remaining drugs for OP wouldn't be suitable for me because of other health issues.