Mine indicated she didn't really want me to pursue that path, so good for your doc setting parameters for your consideration. Good luck on your journey. I am seeing Dr. Bush for a REMS ultrasound in February and his will be the first consult I do with someone who specializes in OP. I did see a functional medicine doctor this summer who had specialized in endocrinology and she told me I did NOT have OP because my Z scores were fine. A creative way to wash her hands of my biggest concern!