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Follow Up Treatment for Evenity Injections
Osteoporosis & Bone Health | Last Active: Aug 9, 2025 | Replies (17)Comment receiving replies
Thank you for sharing, I was just about to ask.. The reference range of CTX is pretty broad, and lots of people still fall within "normal" whether they are on treatment or not. My endo likes to see CTX below at least 300 while on an antiresorptive, but I've read some aim even lower.
Just curious, have you noticed any pattern between your CTX levels and whether your bone density (or Tscore) stayed stable? 630 or 886 definitely sounds like the higher end. Was your baseline CTX (Rx-naive, or without any prior treatment) pretty high ?
Replies to "Thank you for sharing, I was just about to ask.. The reference range of CTX is..."
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I started treatment for osteoporosis with an endocrinologist in 2011. At that time and with that doctor, my test results were not available in a digital app. He gave me paper copies of the results of my bone density scans but not the results for the blood tests. I should have asked for the blood test results, but I didn't. So, I don't know if I had a CTX done before August 2018 when I switched doctors. My 2018 CTX level was 521 (Normal range: 104-1008 pg/mL). Once I started treatment in 2011 (first with HRT and then Evista), my T scores improved. I haven't noticed any pattern between my CTX levels (because I don't know the earlier results) and my T scores, but there probably is one. The higher CTX levels (886 and 630) occurred when I wasn't exercising very much. That situation changed and the next result was 514. my most recent CTX level was 208 with a different normal range: 34 to 1037 PG/mL. This test was done after 5 Evenity injections.