Is a dexa every 2 years enough?
My doctor suggested that a Dexa scan every 2 years is what he uses to monitor Evinity then followed by reclast
I asked about blood turnover markers to see if meds are working along the way
He said he doesn’t use those
Time for a new doctor????
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Medicare will pay for the scans every year provided you are actively being treated for bone loss. I have osteopenia which would normally not be covered (annually) nor would the drug to treat it, but because I am using an AI which can cause bone loss the drug is covered. Because I'm being treated for bone loss, the scan is covered annually.
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3 ReactionsCan I ask
What’s an AI?
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1 ReactionI thought that same thing when I had 2 MDs refuse to order CTX and P1NP tests. There is a lot I don't know about medicine, but why do they care? Why would they refuse to order a blood test that a patient believes will have a positive impact on their health?
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1 ReactionAromatase Inhibitors such as Anastrozole, Letrozole and Exemestane which are estrogen suppression drugs for those with estrogen based cancers. These drugs can cause bone loss.
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2 ReactionsWillow5,
Same smoking history here. I asked my GP for a screen and she ordered a chest x-ray as a start.
I had accidentally used the wrong term when requesting one test. As a result, I almost ended up with a bone scan rather than a bone density scan. Why the NP dd not question my request is beyond me.
As a former Medicare fraud investigator i will share my perspective……physicians are under intense scrutiny….if they order non-standard tests they can end up being investigated for abusive billing practices
If you want an atypical test and your dr refuses, you have a couple choices: 1. go to a dr who you know if prescribing it with some level of frequency or 2. offer to pay out of pocket
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1 Reactionin order for Medicare to pay with greater frequency, i believe the RX needs to sat “medically necessary” and the record must be well documented as to why its medically necessary
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1 Reactioni think very few places are testing for markers
Same here in Australia. But I'm thinking of getting a DEXA scan every six months even if I have to pay for it. Might be a tad childish but I want to see concrete results for all this slogging away at the gym twice a week doing a variant of the Onera program. (I'm 76 with osteopenia and taking anastrozole. )
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