My experience was that Recast worked well for me because there was such an improvement in my DEXA scores. i have an extremely knowledgable endocrinologist. He has more patients than time permits and there is a sign up about the natl shortage of endo’s. i would be afraid that i would need to find a new dr if i demanded my dr wrote my ins company pressuring them to pay for a test he didn’t even order. Hopefully, you have less of a physician shortage than we do in Florida