I don't know where you live, but in Minneapolis, I recently got a DEXA scan through Park Nicollet in St. Louis Park, MN on a Horizon Hologic machine that had the TBS add-on. My TBS score was 1.243, which indicates my trabecular bone is partially degraded. My insurance covered this TBS score. Since this is my first TBS score, I have nothing to compare it to, so don't know if I am have improving or worsening traebecular bone. Apparently the TBS score is a software add-on for DEXA machines. You may be able to request a TBS score from your doc or radiologist. Sadly, none of my docs knows what a REMS score might be, or where to get one.