@mayblin I asked about a DEXA a few weeks ago and MD responded next year. I could ask him with the caveat that I will pay if insurance doesn't. There is good reason medically to do one but my doc would have to write a letter.
The thing is, I think part of me doesn't want to know:) I had COVID and was in the hospital in November and for maybe three weeks did not do Tymlos. Then a few weeks of partial (tapering) and then Evenity Jan.6. My P1NP was not well-timed but showed no increase on Evenity.
My doc does not do bone markers and I occasionally have my PCP do them. But I think I have come to have a sort of macro/holistic view given all the factors to look at and my main goal is not to fracture. No fractures since 4/21. I get x-rays every once in awhile.
I am pretty sure my DEXA had a different "area of interest" and there are so many variables that I am not even sure a DEXA would help. I have kept a chart since 2001 and the DEXA's jump around a bit. People post about changes like -.1 or -.2 which just aren't meaningful at all.
With any testing, I ask, "will I change what I am doing?" The answer is no. So I tend to not do the tests! Slow medicine!
I get your reasoning totally. It's interesting we only have about 10 osteo meds to choose from. However, if putting 2-3 problematic ones aside plus intolerability issues plus medical issues or many unlisted issues relating to a specific person, we are left with very limited choices. In some situations only one way going forward. My first thought was that it will be intersting to know 4mo evenity's effect on your bmd changes. But your clarification of altered tymlos dosing while having COVID (sorry you had so much to go thru!) might muddle with the dexa anyway rendering unuseful information anyway. You said it well not to frature is the ultimate goal!
All the best!