Reading about others with same results. Like you, my lumbar was osteopenia on REMS, osteoporosis on DEXA with quite a wide disparity in density. The opposite happened with the femur, from osteopenia to osteoporosis on REMS, although the femur densities were a little closer to those on the DEXA. On both tests, there is a significant discordance between lumbar and femur, and I’ve just about given up trying to find the reason. I’m happy with the REMS results, and it’s enough to make me hesitate longer before going on meds, but going to keep close watch!