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Why no bone marker tests before starting alendronate?
Osteoporosis & Bone Health | Last Active: 3 hours ago | Replies (18)Comment receiving replies
@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.
Replies to "@debocof Specialists may not see you if you don’t have severe osteoporosis or if you have..."
@oopsiedaisy
we need our doctors to challenge these denials. The denials are made by non-medical insurance company claims adjusters. Whereas challenges usually involve medical personnel. I read somewhere that 75% of denials are reversed on appeal, but a greater percentage of denials are never challenged. ( I don't know how valid the 75% number is, though,)
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@oopsiedaisy It's annoying that they want us to decline before the proper specialist can step in to help! I guess there's just not enough money in prevention and I find that infuriating.