I will be speaking with Dr M in a few weeks. My P1NP is like yours and my CTX slightly lower at 514. I wonder what advice he will give me. I am pretty much resigned to starting Evenity after much research and thought. Also, I finally found a doc who got me approved, another hurdle with the uninformed insurance cos. I definitely believe its all a racquet with the pharma cos but I am also scared of waiting too long and fracturing something. Feels like a tightrope walk for sure.