@windyshores I agree, it is confusing! This is one of the reasons why medical professionals might bemoan patients using Dr Google. Ideally, our chosen specialist would be able and amenable to providing clarification about these seeming discrepancies as they apply to our individual case. At least one article I've read supported the use of monitoring BTMs as patients may have to wait for their DTX. There are also varying opinions about the optimal time to get a DTX, sometimes related specifically to the drug used and sometimes not. I don't understand how a doctor can decide on what sequence their patient will follow if they don't know what their response has been. Sometimes a protocol is established and followed to the letter, but sometimes it isn't. I think that this field is relatively new and ever-evolving. That may be exciting academically but challenging personally.