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High Turnover Help - Understanding my CTX/P1NP Ratio
Osteoporosis & Bone Health | Last Active: Apr 1 10:47am | Replies (27)Comment receiving replies
@yogagirl57 thanks for sharing. One quick thought is that even without a baseline, P1Np likely increased along with CTX on Tymlos as part of increased bone remodeling.
Replies to "@yogagirl57 thanks for sharing. One quick thought is that even without a baseline, P1Np likely increased..."
@mayblin My wife started Tymlos three months ago. Before she started, her P1NP was around 90 and her CTX 700. Now, her CTX has doubled to 1400, but her P1NP has more than tripled to 300. That is a good sign that the medication is working. The ratio is much better.
These numbers have to be considered in context, and in comparison with each other. CTX alone doesn't really tell you anything, as you know, and the level can vary from person to person and from hour to hour.
By the way, she was also diagnosed with thyroid nodules that were causing her hormone levels to be high. I'm sure that was a contributing factor. She had surgery, so between that and Tymlos, her body chemistry has changed a lot.
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@mayblin thank you for the reassurance. Would be nice if my endo would explain that to me. Thank you!