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Bone turnover markers (CTX and P1NP): do you have a baseline?
Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (137)Comment receiving replies
babbsjoy, You're not on any osteo meds? Have you ever taken any? I ask, because your BTMs are actually pretty darn good. Dr. McCormick, author of Great Bones, says the ideal P1NP range is 20-60, and CTx should be 350 (375 at a stretch) or less. The ratio of P1NP to CTx, per Dr. Mc should ideally be somewhere around 1 to 10 to *maintain* bone if you're not on meds. Yours is about 1.75 to 10. That ratio, implies that you should be growing bone. Bear in mind--your scores are a snapshot, and could vary by quite a bit day-to-day, but I would kill for scores like that when I eventually try to go med free.
Replies to "babbsjoy, You're not on any osteo meds? Have you ever taken any? I ask, because your..."
Feeling stupid and I thought I was good at math
HOW do I figure out the 1 to 10 ratio?
My p1np is 37
CTX is 336
Not on any meds yet
Starting soon very likely
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I am not sure how to do this math :). With a CTX of 144 and a P1np of 82, what is the ratio? Although the CTX was taken a year ago and the P1NP was the day before Tymlos treatment a month ago. My Endo believes the CTX is not reliable and to instead follow the P1NP numbers over the course of treatment. But I am intrigued by this conversation and interested in the ratio if anyone can help. Thank you!