Thank you @gretch19!

After initiating evenity, the P1NP is said to have a peak value at week 2, and return close to baseline after 3 mo when compared to placebo group (no drug treatment). So you might not catch the P1NP increase.

This drug is power in promoting bone growth. Sometimes a doctor would like to use bone markers to monitor preliminary response. If for some reason there are timing or test reliability issues, the Dexa scan will be the gold standard for the “judgement” at the end of treatment. So we all need to be patient and wait for the Dexa results.

All the best!

Forgot to mention that evenity is powerful because its dual action. Although you didn't see or 'catch' p1np increase, the decrease in ctx is significant and that will aid in the bone building process. I think you are more than likely doing just wonderful.