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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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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.

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Replies to "A better indicator than T-score is BMD (bone mineral density) because of how the graph lines..."

Hi @mfanslow, Could you explain in what way a T-score declines as one ages? Are you saying that the T-score of a 50 year old would be different than the T-score of a 80 year old with the exact same bone density?
I did not think it worked that way. I thought the T-scores would be the same if the bone density is the same. If this is not so please provide a reference. Or perhaps I misunderstand you completely?
Congratulations on your improvements - that is just great!

Those are great numbers! Congratulations!! Are those of your spine or hip? Also, I didn’t know we can get REMS tests closer together. I am looking for a place to get one near me; it is TOUGH to find!
Getting TBS score would help so much to see the quality of my bones. I did fall this year; backwards, from my dogs running towards me, and nothing broken!!