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.