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How bad is a spine T-score of -4 ?

Osteoporosis & Bone Health | Last Active: 1 day ago | Replies (68)

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Can you share your Tscore with us before Dr Lucas and after? Are you doing other things besides weightlifting? I am trying to stay off the meds; no fractures, FRAX score is great, but TScores not so great (-3.2 spine, -2.2 hips).. I am seeing a dietitian to help eat healthier, working with a trainer, have started Dr McCormick’s collagen supplement, among other things. My endocrinologist, after many many tests to rule out secondary causes of osteoporosis, said my OP is due to menopause and calcium deficient diet. My CTX number is around 479, P1NP is 63. So not crazy numbers, but then I don’t know what would be “normal” for me. I am going to try to get a consultation with Dr McCormick (for those who haven’t heard of him, he wrote Great Bones, an encyclopedia on Osteoporosis) just to get his input.

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Replies to "Can you share your Tscore with us before Dr Lucas and after? Are you doing other..."

A better indicator than T-score is BMD (bone mineral density) because of how the graph lines plotting T-scores decline as one ages (y-axis = BMD; x- axis = age; T-score is represented as a slight downward slope on the graph). At any rate, Apr 2024 L1-L4 BMD = .709 (T-score = -3.1). Aug 2025 BMD =.775 (T-score= -2.5).

I also had REMS analysis in Jan 2025 and Aug 2025; spine quality has improved about 6%.

NOTE: I did not begin weightlifting until June 2024 and I did not begin Dr Doug’s program until last Sept.

It has taken much daily diligence and grit to improve; OP, as Dr Doug says, is not a disease that you can supplement your way out of.