Has anyone had a rems bone scan or tbs bone scan?
I have poor dexa bone scan results, but have heard that rems scans and tbs (trabecular) bone scores can give you a better overall bone health picture. But both, especially rems are pretty new and I wonder if anyone has been able to have one and if their insurance accepts?
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We don’t disagree - my comments were about singular tests compared to each other and the problems inherent to that— as I outlined. Overtime, and with many tests we ascertain more truth in the matter. I think you misinterpreted possibly - your diagnosis of compression fractures is a diagnosis, as evidenced by the compression fracture(s) you were diagnosed with.
Sharing a great podcast episode that explains REMS v DEXA and many other aspects of OP treatment.
On Spotify;
The Evolution Lab
2/27/25 Episode
Paul Magee - Bone Density, Strength, Fractures, Echolight & DEXA
Where in Oregon?
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.
Did you think Osteostrong helped your bone density? What endocrinologist did you see? I live in Oregon too.
Hello, I was doing so many things to (hopefully) strengthen my bones at the same time, that I could not determine if Osteostrong helped me or not. I think I attended for five years.
I am on a medical hold with Osteostrong because I had surgery to correct a vaginal prolapse.
I was referred to Oregon Medical Group for the Endocrinologist.
Thank you!
Did you ever consider that maybe the Dexa is the unreliable test?
That’s an interesting thought. My two scans were vastly different and having had 5 annual dexa scans (same hospital, same machine) one with TBS, I believe the unreliable one was the REMS. I’ll know more when this year’s scan takes place.
I really wanted the REMS to be correct as it was such a good report. However, that was why I went to a different facility in April 2025 to include the TBS score with my Dexa Scan. I was very interested to see which way the TBS would report, but sadly, also indicated degraded architecture.