7 9.6 12.2 17.3 18.7 21.8 24.6 20.7 Once or twice 3.6 10.3 14.7 15.5 19.1 18.9 17.7 15.5 A few times 9.8 26.8 26.2 24.6 21.5 21.3 22.5 21.4 Fairly often 17.7 17.8 14.5 13.8 15.0 13.4 14.1 15.5 Every day/almost every day 63.2 35.5 32.4 28.8 25.6 24.6 21.0 26.9 Severity of back pain (n = 1,481) (n = 1,320) (n = 1,240) (n = 1,092) (n = 1,028) (n = 847) (n = 748) (n = 1,205)

Minor 9.0 23.5 30.3 Cyclopamine 34.2 38.7 38.7 40.2 33.9 Moderate 45.6 58.0 55.0 52.1 49.8 48.3 47.6 50.5 Severe 45.3 18.5 14.7 13.6 11.5 13.0 12.2 15.6 Limitation of activitiesd (n = 1,482) (n = 1,319) (n = 1,238) (n = 1,092) (n = 1,031) (n = 852) (n = 749) (n = 1,206) None 9.7 18.3 23.5 26.6 29.9 28.4 27.2 23.5 Minor 15.2 26.7 29.2 28.5 26.3 29.8 31.5 29.9 Moderate 37.7 38.0 34.4 33.1 33.6 29.0 29.1 31.8

Severe 37.3 17.1 12.9 11.9 10.3 12.8 12.1 14.8 Days in bed due to back pain (n = 1,479) (n = 1,318) (n = 1,240) (n = 1,090) (n = 1,028) (n = 850) (n = 747) (n = 1,205) None 78.8 91.7 93.3 94.0 94.6 92.4 94.1 92.0 At least one 21.2 8.3 6.7 6.0 5.4 7.6 5.9 8.0 Median (Q1, Q3)e 7 (3, 18) 4 (2, 10) 3 (2, 6) 4 (2, 6) 3 (2, 10) 4 (2, 3 (2, 5) 3 (2, DAPT 10) Total n varies for each variable due to missing data. The percentages given for each variable refer to the total N available for that variable aSee persistence graph for percentage of patients taking teriparatide at each time point bTwenty-one (1.4%) and 4 (0.3%) patients were taking teriparatide at 24 and 36 months, respectively cMissing data were 3-deazaneplanocin A mouse handled using the last observation carried forward (LOCF) method dDue to back pain eFor those patients with at least 1 day in bed due to back pain during

the last month Post-teriparatide cohort This subgroup consisted mafosfamide of 909 patients who discontinued teriparatide treatment between baseline and 18 months, and returned for at least one post-treatment follow-up visit. The clinical characteristics of the post-teriparatide cohort were similar to the total study cohort (data not shown), although persistence with teriparatide was higher in the post-teriparatide cohort than in the total study cohort (see Fig. S1). In the post-teriparatide cohort, 50 patients (5.5%) sustained a total of 58 fractures during the 18 months after teriparatide was discontinued. Of the 50 patients with a fracture, 43 sustained one fracture and seven sustained two or more fractures.