This isn't unusual at all. Forteo is to build bone rapidly, and the Prolia (denosumab) is used to maintain and continue to build bone. Better that than one of the bisphosphonates.
Osteoporosis / This really just crossed my eyes in an article about Regeneron, so I remembered that (= I have absolutely no idea on treatment guidelines, pipelines, whatsoever, just a coincident memory) ...
... what I took note of is that there can be a catch-up effect of bone loss after stopping the treatment. So maybe she could ask about the long term treatment strategy (after the 18 months you wrote of):
(as I said, I just came across this fact in some article and am as educated on this topic as the next man on the street)