My CTX after 2 years Tymlos and one set of Evenity injections was 145 (reference 152-858 for 70+).

On 2/22/20 it was 324, before Tymlos (but not fasting and 10:30am)
The others were fasting and all around 9 am:
5/23/23 165 (18 month of Tymlos)
7/15/23 186
1/26/24 145

Doc said studies showed no need to test CTX before transitioning to Reclast or other bisphosphonate. She convinced me.

I am going in for second set of Evenity injections today. The dose for a 150lb woman is 3mg/kg = 210mg. I weigh 104 so about 2/3 that study weight. It makes sense to me that my dose should be around 140mg. One shot is 105mg. I have already told them and gotten agreement that I can have a pause between shots to see how I am reacting this time. If I react again, I will decline the second shot. This would be a little over 2mg/kg and still help but effectiveness might be reduced by 1/3.