@mayblin - here's my convoluted, less that ideal BTM, Evenity, HRT, BTM journey so far:

July '25 (prior to Evenity) - P1NP: 34 CTX: 444 (fasting, but not informed about avoiding biotin or collagen)
July '25 - begin Evenity (spine -3.5; hips both -2.8)
Apr '26 - begin HRT
June '26 - last Evenity injections
July '26 - DXA: spine 1.0; hips -1.9 (great improvement after Evenity)
Aug '26 - P1NP: 21 CTX: 177 (different lab, fasting, early morning draw, no biotin or collagen)

As we've discussed, BTM have their own unique pathway following Evenity. I don't know if the HRT would have had much impact from late Apr to early Aug. No BTM were taken during or after the Evenity course except for the self-pay ones that I'm reporting right now.

I suspect that Evenity is still being reflected in the BTM results (I saved the chart you sent). At least I'll have my own baseline to work from as I consider another draw 3-mo from now and then again 6-mo until I see a pattern emerge.