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@06111945cc

My doctor thinks she knows it all. She says she does not think bone markers P1NP and CTX before you start Forteo is necessary.
She’s an endocrinologist.
She will not send anything to Medicare stating that in her opinion bone markers P1NP and CTX are necessary.
She will order them if I pay for them.
Do you know how much they cost?

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Replies to "My doctor thinks she knows it all. She says she does not think bone markers P1NP..."

My doctor uses;

Bone-specific alkaline phosphatase (ALP) – one of the isoenzymes (types) of ALP; it is associated with osteoblast cell function, the type of cell involved in bone formation. It is thought to have a role in bone mineralization; it is recommended that the test be performed at baseline before starting osteoporosis therapy and again 3 to 6 months later; results may be affected by the level of liver ALP.

06111945cc, from another site:
"CAL216
Jun 10, 2022 • 12:12 PM
I pay for and order my own bone markers. I find it is more cost effective. If insurance does not cover - and Medicare, I'm finding out, does not cover a lot of tests - it is far more affordable. The cost for a CTX test is around $75.00 when I order and pay for it. If a doctor orders the test, I have found the cost to be at least triple. I use Life Extension and have been extremely satisfied.
Procollagen test cost minimal is in LifeExtension (Intact N-Terminal Propeptide of Type 1 Procollagen (P1NP) Blood Test) with price $99.00."

You might call the lab you usually use to ask about the price. Or Check Private MD.
Has medicare refused payment?
I'm sorry you have this endocrinologist. It is hard enough to fight an illness. We spend all our energy fighting providers and insurance carriers.