How well do you understand you BTM (bone turnover marker) test results? I had mine tested in November 2022 and twice I’ve asked my endo questions about the results and he really doesn’t seem to have a clue. My osteocalcin was 8.8 and his only comment (4 different markers were tested) was that my osteocalcin was low. When I left his office I immediately looked up osteocalcin and what I learned was ppl w/ hypothyroidism can have lower osteocalcin levels and that bisphosphonates lower osteocalcin, both of these things really make me question if he has any idea what he is doing—if my osteocalcin is low and that’s bad, why did he want me to have another zoledronic acid infusion? Additionally, when I looked up osteocalcin, I also found that post menopausal women who start exercising can naturally increase their osteocalcin levels. I exercise pretty much every day—I go to the gym 3 days a week and I try to take at least one 20 minute brisk walk every day and I often toss in a few random exercises here an there, for instance push-ups, jumping jacks, lunges, squats, etc. At my next appt w/ my endo I mentioned that if my osteocalcin is too low that either the bloodwork was handled improperly or we need to look for a reason why. He pretty much ignored what I said, told me a was high strung and that I should consider meditating or going to church.