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I too have no symptoms of osteoporosis yet I have a -4.0 DEXA score on my lumbar spine. I was recently told that I have no visible compression or fractures either. I eat very well and exercise regularly with a trainer in Pilates and strength training.
Doctors have responded by strongly, encouraging that I take Pharmaceuticals due to my DEXA score. It’s frustrating. I did receive a much lower score on my echo light Rams test from the summer of -2.6. I recently visited Dr. Keith McCormick to learn what lab test would be important for me to take to find out any underlying reasons why I have osteoporosis.
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Correction - I received a higher not lower score on my recent REMS Echolite test (-2.6).
Out of curiosity, are you small boned to begin with? I weigh 102 at almost 5’4” and believe that DEXA scores are less accurate for people like me, often suggesting we are worse off than we are. But breaking is no joke. It’s a hard road to navigate. 💗
REMS score was -2.8, not -2.6 Lumbar as I indicated. Wishful thinking!
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@shexy I believe that those of us past menopause are going to lose bone density, naturally. We are living so much longer! McCormick will suggest a very complex set of factors that contribute to progression or to healing, but he will also say that at a certain point, meds are needed because more natural approaches are not enough. At least that is what I heard from him.
Osteoporosis has no symptoms. That is a real problem because we can feel strong and healthy-until we fracture. For me, my life changed in a matter of seconds when an unwise bending motion fractured three lumbar vertebrae. I was at -3.7 in spine. The pain and disability that result are life-altering and I stay on this forum to share that experience.
I am not especially "pro-medication" for milder cases. But for lower scores, I do hope people take meds. Tymlos got me from -3.7 to -2.5 in 18 months and I handled it by starting at a lower dose and moving up, so my body adjusted.