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alendronate and no progress

Osteoporosis & Bone Health | Last Active: Aug 8, 2025 | Replies (71)

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@patwerthman I have had 3 injections and the second 2 went ok. I am concerned b/c from my reading, the endo should have my P1NP checked but she says it is unnecessary.

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Replies to "@patwerthman I have had 3 injections and the second 2 went ok. I am concerned b/c..."

So should a test be called P1NP? Good to learn yours are going ok.

There are a lot of endo’s that don’t follow the bone markers. Personally I don’t understand that point of view. Yes, she should have done your CTX and P1NP. It would tell how much the osteoclast resorption is (CTX) and then the P1NP would show bone-formation marker of the osteoblastic activity. These markers are done prior to starting and then 3-4 months after to see if Evenity makes a difference for you. I would insist on having this done.