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Help needed comparing CTX & P1NP results

Osteoporosis & Bone Health | Last Active: 31 minutes ago | Replies (13)

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@gently

jozer, the bone markers aren't prescribed by many physicians. Some consider the assays unreliable, and consequently without signification.
Fosamax represses bone turnover which increases the risk of osteonecrosis of the jaw and atypical femur fracture. Given your previous hip fracture and the lack of gain in the left hip, you might consider your density numbers in that left femur while considering your options.
Stomach issues on the injectable bisphosphonates are less problematic because they avoid the alimentary canal. If your IBS is not autoimmune it might not have to be a consideration.
I'm partial to the bone building drug Forteo.

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Replies to "jozer, the bone markers aren't prescribed by many physicians. Some consider the assays unreliable, and consequently..."

@gently the YouTube video you recommended is perfect! I’ve been watching it the last two mornings on the exercise bike and getting a lot out of it! It’s also over my head and I’m so impressed by your knowledge and experience and your ability to understand and digest it all! Since I am involved in my high school reunion leading the committee and getting a 19 piece show of my art up next week, my brain can only hold so much so I am taking away generalizations and Hope to watch the video over again so I can retain more of it in preparation for my meeting with the NP on May 29. What I am getting out of the information is that as horrible as the RECLAST was on the first go around and the TYMLOS with the malaise, I experienced the first two months because of my drug sensitivity and not being told to titrate up — in the end. They were the perfect prescription for me and the test results are proving that. I have questions but I’m going to wait till I really get a better handle on this. I’ll have my annual DEXA in a couple months and I think that will be the kicker on top of the blood tests! Thank you for your generosity and support in this process. This group at the Mayo Clinic forum online, I find, is so vital and helpful!