@gretch19 same here. P1NP went down and is in the 30's or 40's. Before any treatment (I did Tymlos as well) it was 54. My CTX is low but actually went up from 145 to 186 in 3 months on Evenity. McCormick blamed mine on the fact that I took a half dose second and third months, but I have my doubts about that. Despite my side effects, he told me to take a full dose and test in two months. My endo said to decide based on side effects. I am not sure if we should continue or not. Anti-resorption and some mysteries about how Evenity works may make it worthwhile. My endo is the one who said there are many things we don't understand about why Evenity is so potent for bone growth.

For you, it may be that the P1NP went up the first two months and then went down. The chart on Dr. Ben Leder's video would seem to support that. In other words, we may not be able to tell if it is working from bone markers after those first months, though the CTX going down would indicate anti-resorption.

My tests were after the first month, and mid-month in the third month. Not good. Let me know what you decide to do!