@stacibw my doctor does not do bone marker testing. He told me that there could be an entire conference on this issue. He also said that they don't capture everything going on in bone. (There are other tests besides P1NP and CTX too, like bone specific alkaline phosphatase, PTH and so on).

My bone markers don't match up very well with what is supposed to be happening with medications or with what actually happened (on DEXA) with bone density growth. I just want to insert my own uncertainty here on how much to rely on bone markers . My answer when providers have different perspectives is that they all have a point even if they don't agree!