Just had echolight R.E.M.S. done at Central Carolina Orthopaedics last week. I highly recommend Dr. Bush. The BMD without technician errors (incorrect area of interest, bad positioning) and without influence of osteoarthritis and bone spurs or curvature of spine or my low weight 120 pounds was well worth the cost and travel time. Not to mention R.E.M.S. superior ability to predict fracture compared to Dexa…made it a go to for me. I still have low BMD however this is not the best predictor of fracture or bone strength. I was ready to begin Tymlos and now have been advised against it because of fragility scores in the green. WHO said I had high risk of fracture according to T scores, not true! Next I have found a reliable Dexa with TBS in Raleigh NC that will give additional bone quality info so I will post after that. Look at latest research on R.E.M.S.! The Dexa doesn’t give the whole picture on bone strength. Soon the R.E.M.S. will tell about muscle sarcopenia too. The bone and muscle are a unit. Build muscle and the bones will strengthen. Keith McCormick’s Great Bones book has chapter on Dexa and you tube videos on Dexa errors helped me want to know more before getting on the medicine train! I recommend quality Dexa, getting print out with color images so you too can see more than the T scores. Preferably find a Dexa with TBS or echolight R.E.M.S. so you get information on bone quality and strength. Good luck everyone. My heart is with you. The new technologies will help all of us.