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Help needed comparing CTX & P1NP results
Osteoporosis & Bone Health | Last Active: 2 days ago | Replies (18)Comment receiving replies
Hi, I didn’t see this and just posted a new related question, I hope some on this thread will see. I was on alendronate for 4 years, the first Dexa was good, but the at 4 years showed bone loss. The endo said my labs showed I was absorbing alendronate well, and calcium was good , but even so, it wasn’t working for me, so prescribed Evenity. But I am puzzled about why the labs would show good absorption and the DEXA outcome would still show bone loss. I do have RA, am very slight, and have other risk factors. Any insights on good lab, poor outcome welcome. Thank you.
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Don't let one DEXA rule your life. My DEXAs were the opposite! Turns out my cervical bones were paper thin and C5 fell apart and I had to be rescheduled for a big massive surgery via my backside. WHY?! Because the Dexa's are general. They are only done on certain bones. Make sure you have a DEXA with a TBS score done. (look what TBS is) it standardizes your test. Maybe @gently can help with explaining the TBS (I have to get an art show hung today). There are bone xrays that also help. My orthopedic surgeon always looks and compares year over year.
Yes, my labs over the year showed good but the reality is my bones demineralized - even with great calcium scores! You can have good or bad scores and be the opposite. Good for you for trying something else. Don't forget to exercise. I am slight too. At 68 my genetics are in control and I am degenerating as did my ancestors! I am also on bioidentical HRT because I was for 10 years, 10 years ago and my bones were in better shape. It takes a lot of stuff to stay strong and slow down the effects of aging.