bone markers

Posted by gently @gently, Apr 28, 2024

With a low baseline CTX would an antiresorptive be contraindicated?
Does the pharmaceutical choice determine the frequency of bone marker testing? Mayblin?

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

Profile picture for lurawilson @lurawilson

Ok thanks. Good news here, my dr. did order the P1NP, I received the results today. It appears they came from a lab out of Utah so I that is why they weren’t all reported at the same time. Today I will complete the order for Tymlos through the Walgreens specialty pharmacy. Wish me luck and thanks everyone for all the good information.

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Nice! In this case your endo may have ordered BSAP as one of the diagnostic tests. S/he might also use both BSAP and P1NP to monitor your therapy progress. If you get a chance to ask the benefits of monitoring both bone formation markers, or the advantage monitoring one marker over the other, please share with us.

Tymlos is a great bone builder as you might’ve read many testimonials. Wish you a great success as well!

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Thanks! I’m glad I have finally made the decision. I appreciate all the information I’ve gathered on this site with so many knowledgeable people helping me navigate and feel confident about my decision.
I will ask my Dr. about the 2 types of similar bone markers and why he ordered both etc. My Tymlos arrives next week. I assume it will come with instructions. Anything you think I should know?

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Profile picture for lurawilson @lurawilson

Thanks! I’m glad I have finally made the decision. I appreciate all the information I’ve gathered on this site with so many knowledgeable people helping me navigate and feel confident about my decision.
I will ask my Dr. about the 2 types of similar bone markers and why he ordered both etc. My Tymlos arrives next week. I assume it will come with instructions. Anything you think I should know?

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There is actually a Tymlos patient support program.
https://tymlos.com/sign-up-for-support/

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Profile picture for lurawilson @lurawilson

Thanks! I’m glad I have finally made the decision. I appreciate all the information I’ve gathered on this site with so many knowledgeable people helping me navigate and feel confident about my decision.
I will ask my Dr. about the 2 types of similar bone markers and why he ordered both etc. My Tymlos arrives next week. I assume it will come with instructions. Anything you think I should know?

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Advice on tymlos usage are scattered throughout different threads, you could explore them using the search bar.

I’m sure your endo did a battery of labs and diagnostics. Make sure 24hr urine calcium is included as we wouldn’t want preexisting hypercalciuria in the mix. Tymlos/forteo tend to raise blood calcium level which sometimes requires intake adjustments. Usually docs repeat a blood calcium level 1-3 month into therapy. Best to keep an eye on VitD level also so you could adjust your intake accordingly.

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