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@gently

susanjohnson, well planned.
Osteoresearch's point about hydration and the need to get up in the middle of the night is quite helpful. Without hydration you might feel those palpitation as you try to sleep.
I was given prior serum PTH, D and calcium testing before at three and six months, along with CTX and P1NP.
I was a delayed responder and so the bone markers were repeated sooner. I'm taking Forteo, but this endocrinologists testing is the same with Tymlos. After six months the testing was done once a year.
Bone markers are best repeated after two months on Tymlos. If you are having markers, you could wait until two months after you've reached what looks like your max dose.
It would be really interesting to see your markers at each measurement of low dose Tymlos. It would give us a new perspective on how low a dose is advantageous. I'm betting it's pretty low.
I'm happy for your bones.

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Replies to "susanjohnson, well planned. Osteoresearch's point about hydration and the need to get up in the middle..."

Could you explain "bone markers'?
Are these specific blood tests; could a primary order them or do they have to be ordered by an endocrinologist?
Thank you