@hungrybirder I too put faith in repeated scans that show consistency or a trend. My 6 DXAS in 5 years or so showed continual decline and then a sudden dramatic increase in bone density. That increase followed a year of Evenity my first and only bone med at that point. I know DXAs are imperfect but for me the results made sense. I've only had one REMS and because I have had only one I do not know what to make of where it's results varied from my DXAs.