Bone Health Panel

PTH, ALP isoenzymes, magnesium and timed CTX for DEXA or treatment review.

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Illustration of a stylised Biological Age on a soft background
Illustration of a stylised Biological Age on a soft background

Longevity & Genetics

Living With It

853,600

people in Australia were estimated to be living with osteoporosis or osteopenia in 2022

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

Fractures That Matter

105,000

minimal trauma fracture events required hospitalisation in 2021-22

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

More Common With Age

26%

of Australian women aged 75 and over have osteoporosis or osteopenia

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

Living With It

853,600

people in Australia were estimated to be living with osteoporosis or osteopenia in 2022

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

More Common With Age

26%

of Australian women aged 75 and over have osteoporosis or osteopenia

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

Fractures That Matter

105,000

minimal trauma fracture events required hospitalisation in 2021-22

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

Living With It

853,600

people in Australia were estimated to be living with osteoporosis or osteopenia in 2022

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

Fractures That Matter

105,000

minimal trauma fracture events required hospitalisation in 2021-22

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

More Common With Age

26%

of Australian women aged 75 and over have osteoporosis or osteopenia

https://www.aihw.gov.au/reports/musculoskeletal-conditions/osteoporosis

Rachel Stone, personal trainer working out sweaty with a barbell

DIAGNOSTIC OVERVIEW

DIAGNOSTIC OVERVIEW

What Bone Health Panel Is

Four markers may be selected from a blood sample: PTH, ALP isoenzymes, magnesium and CTX. They answer different questions about mineral regulation and bone turnover. The markers are chosen to address a DEXA finding, suspected secondary cause or treatment-monitoring need, rather than ordered together as a routine wellness screen.

Why it's worth it

Selected to explain the bone question.

Turnover as well as density.

Timed CTX only when useful.

light flare bokeh blue background

DIAGNOSTIC DETAILS

What it measures

The review may include PTH, ALP isoenzymes, magnesium and CTX. PTH and ALP isoenzymes answer different questions, and ALP fractionation is used only when ALP is indicated. CTX needs a standardised morning collection and is not a general fracture-risk screen; each result is interpreted against DEXA or a defined treatment question.

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Bone Turnover

C-telopeptide is associated with the rate at which bone is being broken down, which a density scan on its own cannot show.

Bone Or Liver

Alkaline phosphatase isoenzymes separate the bone-derived fraction from the liver-derived one, so a raised result can be attributed properly.

The Calcium Signal

Parathyroid hormone regulates calcium, and measuring it can explain a density finding that otherwise looks unexplained.

Magnesium

A mineral involved in both bone and parathyroid function, measured alongside the rest in the same draw.

light flare bokeh blue background

DIAGNOSTIC DETAILS

What it measures

The review may include PTH, ALP isoenzymes, magnesium and CTX. PTH and ALP isoenzymes answer different questions, and ALP fractionation is used only when ALP is indicated. CTX needs a standardised morning collection and is not a general fracture-risk screen; each result is interpreted against DEXA or a defined treatment question.

Get started with Precursor

Bone Turnover

C-telopeptide is associated with the rate at which bone is being broken down, which a density scan on its own cannot show.

Bone Or Liver

Alkaline phosphatase isoenzymes separate the bone-derived fraction from the liver-derived one, so a raised result can be attributed properly.

The Calcium Signal

Parathyroid hormone regulates calcium, and measuring it can explain a density finding that otherwise looks unexplained.

Magnesium

A mineral involved in both bone and parathyroid function, measured alongside the rest in the same draw.

light flare bokeh blue background

DIAGNOSTIC DETAILS

What it measures

The review may include PTH, ALP isoenzymes, magnesium and CTX. PTH and ALP isoenzymes answer different questions, and ALP fractionation is used only when ALP is indicated. CTX needs a standardised morning collection and is not a general fracture-risk screen; each result is interpreted against DEXA or a defined treatment question.

Get started with Precursor

Bone Turnover

C-telopeptide is associated with the rate at which bone is being broken down, which a density scan on its own cannot show.

Bone Or Liver

Alkaline phosphatase isoenzymes separate the bone-derived fraction from the liver-derived one, so a raised result can be attributed properly.

The Calcium Signal

Parathyroid hormone regulates calcium, and measuring it can explain a density finding that otherwise looks unexplained.

Magnesium

A mineral involved in both bone and parathyroid function, measured alongside the rest in the same draw.

HOW IT WORKS

From booking to your results

Bone density and bone markers answer different questions. Here is how a selected blood test supports a DEXA finding or treatment-monitoring decision.

Book Now

Your Results Are In!

Tap to review your results and see what's next.

01

Speak with your clinician

This review is clinician selected for a DEXA finding, suspected secondary cause or treatment-monitoring need. Only markers that answer that question are ordered.

02

Fast before your draw

C-telopeptide is affected by food and time of day, so collection is usually arranged fasting and in the morning. Your clinician confirms the detail.

03

Give your sample

A blood draw at an SNP collection centre, usually five to ten minutes. CTX is collected using the timed protocol set by your clinician.

04

Laboratory analysis

An accredited pathology laboratory measures C-telopeptide, parathyroid hormone, ALP isoenzymes and magnesium from the same sample.

05

Review together

A clinician explains the selected markers against your DEXA finding or treatment question and sets out any reasonable next step in that clinical context.

HOW IT WORKS

From booking to your results

Bone density and bone markers answer different questions. Here is how a selected blood test supports a DEXA finding or treatment-monitoring decision.

Book Now

Your Results Are In!

Tap to see what's next.

01

Speak with your clinician

This review is clinician selected for a DEXA finding, suspected secondary cause or treatment-monitoring need. Only markers that answer that question are ordered.

02

Fast before your draw

C-telopeptide is affected by food and time of day, so collection is usually arranged fasting and in the morning. Your clinician confirms the detail.

03

Give your sample

A blood draw at an SNP collection centre, usually five to ten minutes. CTX is collected using the timed protocol set by your clinician.

04

Laboratory analysis

An accredited pathology laboratory measures C-telopeptide, parathyroid hormone, ALP isoenzymes and magnesium from the same sample.

05

Review together

A clinician explains the selected markers against your DEXA finding or treatment question and sets out any reasonable next step in that clinical context.

HOW IT WORKS

From booking to your results

Bone density and bone markers answer different questions. Here is how a selected blood test supports a DEXA finding or treatment-monitoring decision.

Book Now

Your Results Are In!

Tap to review your results and see

what's next.

01

Speak with your clinician

This review is clinician selected for a DEXA finding, suspected secondary cause or treatment-monitoring need. Only markers that answer that question are ordered.

02

Fast before your draw

C-telopeptide is affected by food and time of day, so collection is usually arranged fasting and in the morning. Your clinician confirms the detail.

03

Give your sample

A blood draw at an SNP collection centre, usually five to ten minutes. CTX is collected using the timed protocol set by your clinician.

04

Laboratory analysis

An accredited pathology laboratory measures C-telopeptide, parathyroid hormone, ALP isoenzymes and magnesium from the same sample.

05

Review together

A clinician explains the selected markers against your DEXA finding or treatment question and sets out any reasonable next step in that clinical context.

"DEXA and bone markers answer separate questions. The useful test explains a finding or checks a treatment response and is ordered with the right timing."

"DEXA and bone markers answer separate questions. The useful test explains a finding or checks a treatment response and is ordered with the right timing."

Goutham Sivasuthan. CEO and Co Founder of Precursor

Dr Goutham Sivasuthan (FRACS, MBBS, MSurg, BSc)

Dr Goutham Sivasuthan (FRACS, MBBS, MSurg, BSc)

Dr Goutham Sivasuthan (FRACS, MBBS, MSurg, BSc)

Precursor Co-Founder & CEO

TAKE CONTROL OF YOUR HEALTH

Book Your Bone Health Panel Now

Book Your Bone Health Panel Now

Find the precursor, shape the outcome.

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FAQs

Your Questions, Answered

How do I book a test?

Choose your test and a time that suits you online, then visit one of our partner locations. If any preparation is needed, such as fasting, we tell you clearly when you book.

When and how do I get my results?

Your results appear in the Precursor app once your sample or scan has been processed, laid out in plain language rather than a wall of numbers. Turnaround depends on the test, and we give you a timeframe when you book.

Will someone explain my results to me?

Yes. A clinician reviews your results, flags anything worth your attention and helps you understand what they mean and what, if anything, to do next. You are never left to interpret them alone.

Where can I get tested?

We operate through partner locations across South East Queensland, including Brisbane, the Gold Coast and the Sunshine Coast. You choose the most convenient one when you book.

Do I need to prepare or fast beforehand?

It depends on the test. Some require fasting or other simple preparation, and others need nothing at all. Whatever applies, we tell you clearly at the time you book so there are no surprises on the day.

Can I track my results over time?

Yes. The Precursor app is built to show change between tests, so each result becomes a trend you can follow rather than a one-off snapshot. Retesting lets you see the effect of any changes you make.

How is my data handled and kept private?

Your health data is handled with care and kept private. Results are stored securely in the Precursor app and shared only with you and the clinicians involved in your care.

What happens if something needs further attention?

If your results surface something worth acting on, your clinician explains it calmly and talks you through sensible next steps. The aim is early clarity and considered action, never unnecessary alarm.

What is a good BRI score?

There is no single answer, because it depends on your height and which guidance you are being measured against. This calculator converts the Australian waist thresholds into BRI at your own height, so your bands are specific to you. Most BRI tools use bands from an American mortality study, which produce noticeably different results for Australians.

Is BRI better than BMI?

It is better at one specific thing, which is detecting central fat, because it uses your waist. It is not better across the board. BMI is generally reliable when it flags someone, and research suggests the two measures agree in the large majority of cases. The useful comparison is not which one wins but whether they disagree about you.

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MORE DIAGNOSTICS

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A new way Australians get ahead of their health.

Start looking. Today.

Curated diagnostics and a clinician-guided plan, built around getting ahead of what matters.

Get started with Precursor today

macro photography of leaf

A new way Australians
get ahead of their health.

Start looking. Today.

Curated diagnostics and a clinician-guided plan, built around getting ahead of what matters.

Get started with Precursor today

macro photography of leaf

A new way Australians get ahead of their health.

Start looking. Today.

Curated diagnostics and a clinician-guided plan, built around getting ahead of what matters.

Get started with Precursor today