Replies to Most of the tests prescribed are not medically necessary, except we don't know until we have…

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Osteoporosis & Bone Health | Last Active: Mar 13 2:26pm | Replies (20)

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@gently

Most of the tests prescribed are not medically necessary, except we don't know until we have them. And we probably don't want our physicians to guess.
One of the endocrinologist I consult with said that he doesn't prescribe without bone markers. He won't risk the moral hazard of prescribing medication to a woman on the verge of fracture without understanding whether the drug is effective.
If your osteoporosis doctor is passive you could be on a useless, expensive, potentially harmful medication for two years between dxas.
Bone markers are never used to diagnose osteoporosis.

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Replies to "Most of the tests prescribed are not medically necessary, except we don't know until we have..."

lurawilson | @lurawilson | Mar 12 12:58pm

My primary dr. prescribed prolia back in 2022 and thankfully I refused. At the time I started walking more and was diligent about calcium and vitamin D intake. Unfortunately 2.5 years later my Dexa scores got worse. I'm now seeing an Edno. It took 6 months to get in. My lab work has been completed and he indicated I should start Forteo, Tymlos or Evenity, the drug choice is up to me. I scheduled a telehealth appointment to ask more questions and hope to make a decision and a plan going forward. Right now I'm leaning towards Tymlos. My labs did not include a CTX or P1NP test and I don't know my Edno's opinion on those tests. It's possible my insurance will not cover them however, I have heard many times how important those test are. Hopefully one of those drugs will get approved along with the necessary labs. lads. (fingers crossed) My question for you is 1. Once I start taking the drug how often is it recommended to get the CTX and P1NP labs? 2. How would I get a 3-6 month supply of Tymlos? I travel out of the country during the cold winter months.
I do have the Great Bones book ordered but I'm afraid it won't arrive prior to my appointment, that is why I'm asking here.
Thanks for your help

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