← Return to Update Evenity followed by 2 years of alendronate

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@debhatchell
In 2022 my first DXA at age 65 was spine -3.1 and FN -3.3 and I severely fractured wrist needing surgery from a fall while hiking. I had previously fractured the other wrist 10 years prior from flying off the stairs in a new house. Stairs were curved and I missed the last few so it was quite traumatic. That bought me Evenity and got me on this site and a deep dive into Keith McCormicks book Great Bones.
And yes your Dr is very wrong to say that. If I had waited after my second year of alendronate to find out that it wasn’t holding my gains I would have been in much worse shape. So far I’ve had no problem having annual DXAs covered except for this last one that was pushed by me because of a CTX higher than I thought it should be (489). I might have to pay for that one out of pocket. I have certainly learned if the doc doesn’t order bone turnover markers you can through Jason Health to do it and always pair CTX with PINP. Just another piece of the puzzle. And we are all so different. I’ve often thought if the docs spent a couple days reading some of these posts they’d be so much better treating all
of us I feel as I can say this because my husband is a now retired internist and he’s learned much. it is a complicated disease.

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Replies to "@debhatchell In 2022 my first DXA at age 65 was spine -3.1 and FN -3.3 and..."

@hikernurse Oh, THANK YOU for your lovely response. You've just opened up a whole new world to me. I had not heard of Keith McCormick's book or Jason Health. NOR had the doc ever mentioned bloodwork. I'm a data-person and want to measure everything. Besides the DXA that showed my weakest point being the -4.0 (spine and forearms) last year, nothing has been done. Zero bloodwork. This information makes me even more shocked at the negligent level of care I've been receiving.

I'll get some labs ordered; gratefully I have an integrative medicine doc who will order any test I want. I'll pick up Great Bones and start reading. I called my insurance company and they confirmed that under my plan, one annual DXA scan is considered preventative and are covered. But, like you, I'd be willing to pay out of pocket to know.

Thank you, sweet angel. I truly appreciate these tips.