@pbnew and @eku how was your MBC in bones diagnosed? I am on Tymlos for osteoporosis and my bones hurt all the time. I have asked my oncologist how a person with osteoarthritis or other reasons for bone pain other than MBC, can possibly tell they need to be evaluated for metastasis.

One other point. The term "genetic testing" often refers to testing for BRCA and other genetic factors in causing cancer, as opposed to the genomic testing (also referred to genetic testing of tumors) like Oncotype or Mammaprint, that test the genetic make-up of individual tumors. It can be confusing.