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Why no bone marker tests before starting alendronate?
Osteoporosis & Bone Health | Last Active: 2 days ago | Replies (22)Comment receiving replies
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.
Replies to "@jozer Turns out, my appointment late last year, prior to diagnosis was at the UCSF Bone..."
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@debocof Specialists may not see you if you don’t have severe osteoporosis or if you have not fractured. This was my experience. My gynecologist submitted a referral to a rheumatologist but it was denied and my primary care physician prescribed Fosamax.
I ended up with a fracture and that was when I was finally approved to see an endocrinologist.
I never had bone markers assessed until I started seeing an endocrinologist and that was only CTX. I’ve never had my P1NP measured.