Bone Marker Values

Here is a good article on the use of BTM's in osteoporosis diagnosis and treatment. https://www.ncbi.nlm.nih.gov/books/NBK559306/

Different labs have different reference ranges. For CTX I have 104-1008 post-menopause and 152-858 for 70+. If you are younger I can look up values!

For P1NP I have 16-96 and 20-108 for < 60, no reference for >60.

Hope someone posts the info you wanted!

Thanks so much @windyshores. I am 18 years past menopause. Irma did send me her post information also.

Took work but I finally found it.

I read another article, can't find it, that said lower kidney function (which I have) can affect some of these tests and other tests were suggested; calcium, BSAP (bone specific phosphatase), PTH, TRAP (better than CTX for this situation?) and BALP (the latter two are types of phosphatase). I can't read my writing 🙂 but they are all google-able.

Food raises the CTX as does a later time. My pre-treatment value was 324 at 10:30 after breakfast and other values during treatmen w/Tymlos were 165 and 186 and after one Evenity 145, all fasting and at 9am. Should be even earlier but aiming for consistency so as to compare. I wish I had a fasting 9am baseline!! It's all about comparisons.

Very interesting! The fasting ones are all good, but especially the 145 after Evenity. Is that the time you took the whole dose or the second time with only one injection?

Thanks so much @normahorn. This is a really nice list for reference.

Please keep in mind that these are from a chiropracter.

@dr sue fowler the 145 was one month after the first Evenity.

The ranges are wide. I feel the meaning lies in changes but we need a good baseline for that. Some of us may even run naturally low in CTX, according to my doc.