← Return to HRT Safety

Discussion

HRT Safety

Osteoporosis & Bone Health | Last Active: May 5 9:56pm | Replies (203)

Comment receiving replies
@pking1952

Debbie - I'm not very good at understanding or reading these scans. But I've copied my scores since my first scan in 2021. This is T-Score Change
vs. Baseline results: I think that it what you were looking for.

AP Spine L1-L3 1/24/2025 72.6 1.284 g/cm² 0.8 12.4 %
AP Spine L1-L3 6/21/2023 71.0 1.141 g/cm² -0.3 -0.1 %
AP Spine L1-L3 6/22/2021 69.0 1.142 g/cm² -0.3 baseline

DualFemur Neck Mean 1/24/2025 72.6 0.863 g/cm² -1.3 2.0 %
DualFemur Neck Mean 6/21/2023 71.0 0.831 g/cm² -1.5 -1.8 %
DualFemur Neck Mean 6/22/2021 69.0 0.846 g/cm² -1.4 baseline

DualFemur Total Mean 1/24/2025 72.6 1.019 g/cm² 0.1 5.8 %
DualFemur Total Mean 6/21/2023 71.0 0.972 g/cm² -0.3 0.9 %
DualFemur Total Mean 6/22/2021 69.0 0.963 g/cm² -0.4 baseline

Jump to this post


Replies to "Debbie - I'm not very good at understanding or reading these scans. But I've copied my..."

@pking1952 , Thanks
For posting your before and after results. I'm afraid I'm not familiar with the layout of the results on your report. They are different from the numbers displayed on my dexa. It appears as though all your numbers are in the osteopenia range. Is this correct? Perhaps someone else on this forum could interpret them better.

This is what Gemini said,
Let's analyze these bone density results over time to understand the changes and their clinical significance.

Understanding the Data:

AP Spine L1-L3: This measures bone density in the lumbar spine (vertebrae L1 to L3).
DualFemur Neck Mean: This measures bone density in the neck of the femur (hip).
DualFemur Total Mean: This measures overall bone density in the hip region.
g/cm²: This is the bone mineral density (BMD) in grams per square centimeter.
T-score: This compares the patient's BMD to that of a healthy young adult.
% change: This indicates the percentage change in BMD compared to the previous measurement.
Baseline: This is the initial measurement used for comparison.
Analysis:

Lumbar Spine (L1-L3):

6/22/2021 (Baseline): BMD 1.142 g/cm², T-score -0.3. This indicates normal bone density or mild osteopenia.
6/21/2023: BMD 1.141 g/cm², T-score -0.3, -0.1% change. very little change over 2 years.
1/24/2025: BMD 1.284 g/cm², T-score 0.8, 12.4% increase. This is a very large increase in bone density. This could be due to treatment, or an anomoly in the scan.
Femoral Neck Mean:

6/22/2021 (Baseline): BMD 0.846 g/cm², T-score -1.4. This indicates osteopenia.
6/21/2023: BMD 0.831 g/cm², T-score -1.5, -1.8% change. Slight decrease in bone density, still in the osteopenia range.
1/24/2025: BMD 0.863 g/cm², T-score -1.3, 2.0% increase. Slight improvement, but still within the osteopenia range.
Femoral Total Mean:

6/22/2021 (Baseline): BMD 0.963 g/cm², T-score -0.4. This indicates normal bone density or mild osteopenia.
6/21/2023: BMD 0.972 g/cm², T-score -0.3, 0.9% increase. Very little change.
1/24/2025: BMD 1.019 g/cm², T-score 0.1, 5.8% increase. Improvement in bone density.
Summary and Interpretation:

Lumbar Spine: There has been a very significant increase in the lumbar spine BMD. This is a very large change, and should be discussed with the ordering physician.
Femoral Neck: The femoral neck shows osteopenia throughout the entire testing period, with minor fluctuations.
Femoral Total: The femoral total shows improvement, now in the normal range.
Overall:
The large increase in the spine is an important result.
The hips have shown a slight improvement.
This person should speak to their doctor.
It is very important to determine the cause of the large increase in the spine density.
Important Note: This analysis is for informational purposes only and should not be considered medical advice. A healthcare professional is needed to interpret these results in the context of the patient's medical history and other relevant factors.