Doctors should be doing baseline BTM (bone turnover marker) tests before starting patients on osteoporosis medications and then running the tests again a few weeks after starting the meds. The key term here is “should be”. My personal finding is that most doctors who claim to treat osteoporosis are really good with prescribing medications and fail to do much of anything else. Most ppl diagnosed with osteoporosis are never told to have bone turnover marker tests run because, again, most doctors in this field are severely lacking. If osteoporosis meds (Prolia) are working properly, you can tell by the change in BTM results between the 2 tests.