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Questions about my CTX and Osteocalcin test results
Osteoporosis & Bone Health | Last Active: Sep 28 8:37pm | Replies (8)Comment receiving replies
My doctor had me wait two months after Evenity, before Reclast, saying it takes time for Evenity to "mineralize." Two months was the limit though.
Keith McCormick would tell you to wait for a higher CTX. One of my endos said studies show it doesn't matter but it seems reasonable, with a CTX that low, to wait. Evenity is anti-resorptive so that might be why the CTX is low.
As you can tell, like everything else, little is actually known since Evenity is so new, and there are differences of opinion. Some docs like mine don't do bone markers at all. There may be other tests that tell you more about what is going on in bones.
If it were me, I would maybe talk to McCormick and consider waiting until the CTX is over the value that McCormick suggests. Maybe someone on here remembers- over 100? My copy of his book is in storage 🙂
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I would love an appt with McCormick just for advice and clarification, but I bet the wait is quite long. I was searching his book last night, trying to get an idea of what is going on. It was late and I was tired so I didn’t absorb any info. I do remember something he wrote about results under 100 are dangerously low. I think that’s what I read. 😆 I will review those sections tonight. And to your point that a lot of doctors don’t use the markers, I can see why. I know they are highly variable and we need to follow blood draw guidelines. I did all that but realized I used a small scoop of collagen in my coffee the day before. But would that small amount really matter? And are there guidelines for number ranges? Like over this number, you start or below you don’t. It’s confusing for sure!