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Reclast: Poor Result...Next steps

Osteoporosis & Bone Health | Last Active: Sep 26, 2025 | Replies (35)

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undetectable, I'd get a P1NP to see if your osteoclasts need some encouragement. Then I'd take advantage of any mistake on the dexa and ask the Doc for a prescription for Forteo. Forteo rather than Tymlos because your spine holds the low number.

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Replies to "undetectable, I'd get a P1NP to see if your osteoclasts need some encouragement. Then I'd take..."

Hmmm... ??? P1NP measures osteoblast activity... so explain how that will tell me if my "osteoclasts need encouragement"? TY

Forteo wasn't mentioned as an option, and neither was P1NP. Will ask my doc, who is now saying that the spine score last year had to be in error...I'm confused about this whole turn of events and want to get an opinion from a radiologist before proceeding.