@shexy Here is an article on lab tests, including info on what throws bone markers off: I didn't know that fractures can raise BTM's
"Fracture leads to an increase in BTMs which is evident even 6 months after the event [22]; bone formation markers may remain raised even at 52 weeks [23], while resorption markers generally return baseline by then [24]."

My endo doesn't do bone markers, saying they don't tell the whole story and are affected by many things (for me, kidney disease). That leaves me feeling like I am flying a plane in the dark with no instrument panel (except DEXA).

My doctor does albumin, not SPEP. SPEP is to test for multiple myeloma. Other tests might include thyroid levels and test for Cushing's ( high cortisol so similar to use of steroids I guess).

Some doctors won't do homocysteine. I take folate and sometimes liposomal glutathione to keep it down w/out testing because my doctor won't order it.

I would think celiac testing would be a stretch for older patients: my kid has celiac and we sure did know there was something wrong. Maybe it is silent for some? You can be gluten sensitive without having celiac, which is an autoimmune disorder. My doctor doesn't order these but I avoid gluten and dairy anyway to reduce inflammation. McCormick aims to reduce inflammation which he writes about as a factor in bone loss.

My blood calcium has always been at the high end of normal at 10.3 but Reclast has lowered it to 9.4. I am going to ask for a urine calcium test at some point.