@blueberre I didn't. The provider told me, as soon as Tymlos had been approved by my insurance company (on appeal) that she just put in orders to test CMP, P1NP, and iPTH in 4 weeks. She also added a 24-hr calcium urine test, only b/c I had a slightly positive one at baseline at the time of my original diagnosis and I have a history of kidney stones. As soon as my results came in and although all labs were good, she immediately put in repeat lab orders (minus the urine) for 3 weeks, due to side effect issues that caused me to go to half-dose (4 clicks/40 mcg). My provider is good and stays on top of things.