hi, drsuefowler,
As your ratio is the best ratio to date, and because your CTX has dropped considerably, I'd celebrate.
I'm depending on ratio. Your ratio is within my target. I want a high number of both because I want high turnover.
While I am completely convinced about bone markers and am betting my bones on that conviction, I could be mistaken.
Your April numbers had a very slightly better ratio, but mentioning that would be to quibble.
My prescribing endocrinologist marveled at my P1NP, but ignored the CTX saying that on anabolics CTX doesn't signify anything. I often disagree silently. It's really good to hear that the medication is working out so well for you.