I had my REMS done one year ago in Oregon through Osteostrong. It was very confusing because it showed I was normal in my spine and osteopenia in my hips. I have 6 consecutive years of Dexa Scans showing Osteoporosis in my spine and osteopenia in my hips. I am stable with my scores during this time. I had another Dexa Scan and (new to me) a TBS score done April 2025. Same Dexa Scan scores, but the TBS showed "1.185, which is consistent with degraded architecture". This information led me to work with an Endocrinologist who has been a positive experience to work with. I feel like I have someone with the knowledge and supports me to address the osteoporosis.
I do not consider the REMS to be valid in my situation and do not rely on this.