I had a DEXA in January and a REMS in February. My DEXA spine score was -2.5 and my REMS spine score was -1.1. With L3 and L4 -1 and -0.1 and L1 and L2 -1.5 & -1.7. I like the detail of the REMS. I went to Canada to get it and paid $141 USD for it. It was worth it to me because I can get this scan anytime I want to monitor it on my own and see if diet, exercise and vitamins are helping. If the score gets worse I’ll try meds but at least I don’t have to wait 1-2 year to find out if it’s worse. For me it’s maintaining this level. I have an appointment to see an endocrinologist in June, soonest appt I could get.