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.