ps @kathleen1314 for some of us the TBS is useless. As you know bone quality is different from density and the connections within bone can be damaged beyond repair. With 7 fractures in my spine, bone quality is obvious.

DEXA is difficult to with L1, L2 and L5 fractures, so I don't realy on that other than comparing from scan to scan.

The REMS interests me (ultrasound) since it is not affected by arthritis or scoliosis but I need to find out the effect of fractures. I plan on asking my doctor about it. Honestly my gains on Tymlos were too good to believe!