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Difference in scores between DEXA and REMS

Osteoporosis & Bone Health | Last Active: 39 minutes ago | Replies (12)

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@glojo

I had similar results, with a significantly better REMS lumbar score and about the same DXA femur scores. I could write a book about my confusion, and I can’t say what anyone else should do; however, I do believe that more information is better than less, as long as it is as accurate and research-based as possible. I would suggest looking at Dr. Bush’s website for explanation of the numbers, because most docs are not familiar enough with the REMS to offer solid analysis. Personally, I am not basing any treatment decisions solely on either test, DXA or REMS, but on a combination of health factors unique to me. That’s all any of us can do. If you’d like to know more about my own situation, I am more than happy to chat or message one-on-one.
Here is the link for Dr. Bush’s blog and video resources, although a google search will lead to him and other experts, including Dr. Kimberly Zambito. Another good resource is Debi Robinson’s podcast, Stronger Bones Lifestyle, where she interviews a variety of doctors, including a 3-part session with Dr. Bush.
https://www.boneforte.com/journal

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Replies to "I had similar results, with a significantly better REMS lumbar score and about the same DXA..."

Thanks for the reply and information. I will look at the Drs you mentioned. My realization is that Osteoporosis is poorly understood. the technology used is outdated, and has not been revised. perhaps because it primarily affects women! No one is able to explain what causes the imbalances between Osteoclasts and Osteoblasts, and what would be helpful, useful to create better balance.

Thank you for the information given. I appreciate that Dr. Bushes website. I wish I had this resource in my area. I learned about the REMS thru this osteoporosis support group. I live on the west coast so am having to travel to Canada to get a REMS. Will have to try and interpret the results myself since no one in my state gives or knows how to read this test. But I do like the fact that I can get one of these REMS in Canada and monitor my osteoporosis without having to wait 2 years to get an updated DEXA scan. Currently waiting to get an appointment with an endocrinologist. Wait times in Oregon can be 3-6 month. I appreciate your commitment to advocating for your health. It’s what I have learned over time. Keep asking questions, keep seeking that Dr. who will work with you. I want information and 1 year to figure out whether to take the Fosomax I was automatically prescribed by my PCP or if I can make positive changes in spine scores through vitamins, impact training and diet.