← Return to Bone turnover markers (CTX and P1NP): do you have a baseline?

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@gracie7 I think your doctors will most likely base treatment decisions on DXA results, with FRAX also playing a role.

Glucocorticoids affect bone in a unique way, and coming off prednisone is probably the most important “stop-loss” step you can take right now. Lifestyle measures provide an essential foundation for bone health, but they’re unlikely to fully reverse the effects of prednisone. Wish you the best on this journey.

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Replies to "@gracie7 I think your doctors will most likely base treatment decisions on DXA results, with FRAX..."

@mayblin - I now understand the unique damage from prednisone and am quite ticked off that I was not told about side effects; and my records showed I had osteopenia when I started on it. It surely worked miracles after the first couple doses and perhaps I should have known to ask side effects, but I have always trusted doctors (my naivety I suppose). Because of my experience with a doctor not helping with preventing or minimizing the side effects, I am now very skeptical of the quite curt advice to simply move on with Prolia with no discussion.
I have no health issues other than pseudo gout that flares up and with that no one knows what causes it or how to prevent it. The only pharmaceutical I take is colchicine and I am aware of the side effects now....again by my own research!
If my rheumatologist had taken time to talk about the plan, my DXA results (osteopenia every point except -2.8 left femur neck) would never warrant such a powerful med.
One thing I am doing (from all the wonderful experiences with this forum) regarding diet and supplements....I eat 6 prunes with a cup of cottage cheese either for breakfast or lunch and have learned that MK4 (45mg) is the best K vitamin for bone health. I continue with a ton of other supplements, too many to list and will let you know if what I am doing is making a difference with the next blood test/scan. Thank you SO much for all the discussions.
OH and I grow lots of veggies and love the fresh beet greens, sautéed in oil and garlic....no kidney issues yet, thank God. Best - gracie