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Profile picture for mcchesney @kathleen1314

@dvargo
Given the discrepancy between a low-turnover CTX (80) and an osteoporosis-level T-score (-2.9), you may want to ask your doctor for a P1NP test, which measures bone formation, to see if your body is building bone at the same slow rate it is breaking it down.

This low turnover is more normally seen with the use of a bisphosphonate.

Very low CTX levels can sometimes indicate "adynamic" bone, where bone remodeling has slowed significantly. While often seen with certain medications like bisphosphonates, if it occurs naturally, it could suggest that your bones are not actively renewing themselves.

What was your bone quality reading on REMS?

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Replies to "@dvargo Given the discrepancy between a low-turnover CTX (80) and an osteoporosis-level T-score (-2.9), you may..."

@kathleen1314 My low ctx of 80 was considered high by the cleveland clinic and they wanted to put me on Reclast. My P1np was normal, so I declined any drug. My rems test was -2.4 with a normal 37 bone quality which put me at a risk of 1% fracture. What prompted my question was some people on this board had CTX of 800 and up. Again, in the past year my spine went from -2.9 to -2.4 by the Rems test.