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Why no bone marker tests before starting alendronate?
Osteoporosis & Bone Health | Last Active: May 25 12:42pm | Replies (23)Comment receiving replies
Since there is no osteoporosis specialty you could definitely benefit from seeing either an endo or a rheumatologist (generally those two specialties are the ones suggested for osteoporosis). Bone markers (CTX, NTX, P1NP) sure seem important but some docs do them some don't. Mine did not; first appointment I was put on Fosamax, after a year on Fosamax I requested (found out what bone markers were on the internet) and got CTX and NTX, and my doc did run those tests again after 1 year on Reclast. Never had P1NP (maybe because I started on a bisphosphonate?) who knows.
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@jozer
Turns out, my appointment late last year, prior to diagnosis was at the UCSF Bone Health clinic which is a multidisciplinary center combining rheumatology and endocrinology and ortho. This was prior to my diagnosis, and the doctor there told me to work with my gp if my scheduled DEXA were to came back showing osteoporosis. Even though the change came back showing a 5.7% decrease in one year, the doc (who actually is an endocrinologist) said by text when I followed up with my results to just work with my gp. I guess they don’t work with everyone who has osteoporosis?
Google UCSF Bone Health to get information about this program. I’m not allowed to post links yet.