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Bone turnover markers (CTX and P1NP): do you have a baseline?
Osteoporosis & Bone Health | Last Active: Oct 5 5:35pm | Replies (183)Comment receiving replies
Most likely your endo will do bunch of tests first to rule out some obvious secondary causes for op. Here is what I had:
The first set of blood work my endo ordered were:
Vit D
24hr urine calcium w/ creatinine
Parathyroid hormone
Celiac disease diagnostic panel
Basic metabolic panel
AM cortisol level
Dexamethasone challenge (1mg o/n), test 8-10am
Later we did:
Plasma histamine
Prolactin level
Serum electrophoresis
Tryptase
Magnesium level
During FORTEO we did:
Periodic Vit D check (~every 3-6mo) and metabolic panel
Monitor blood calcium @3mo, 6-9mo forteo: metabolic panel includes this
I didn’t have baseline btms, but started at one year and now doing every 3mo. Trending very nicely
After all the tests came back, we think I have op due to loss of estrogen.
Oh I think thyroid hormone t4 and tsh needs to be checked. if you had or having certain meds such as ssri, ppi, oral corticosteroids or ai etc, tell your doc. Other disease states like ibs also can be a cause. My doc took a detailed medical and family history. @windyshores had a long list of causes posted somewhere on this forum.
If I could locate the full list of dx labs for most causes for op, I’ll post it here.
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Thanks so much for sending this! I’m finally approved for Tymlos and had an appointment with rheumatologist. I asked about the tests and he mainly does calcium and dexa. He told me endocrinologists are more likely to do the CTX and P1NP and would not order them or any of the other tests mentioned. He said if I really wanted the tests he would refer me to an endo, was very nice about it but didn’t want to do the tests.
So, I’ll see if pcp will order them and will probably switch to an endo. I have an appointment set up with endo at Mayo the end of June.
@mayblin did you have the 24hr urine calcium test with creatinine because of high calcium or it was just a preliminary test you doctor would have ordered for most patients on an anabolic?