← Return to Difference in scores between DEXA and REMS

Discussion
Comment receiving replies
Profile picture for anngeorge @anngeorge

I just got a REMS scan and I am devastated by the results. According to the report, the BMD of my right femur decreased by over 40% in the less than 2 years since my last DEXA. This seems impossible. I get enough calcium from diet and take vitamin D and K2 supplements. I have lots of energy and don't have any pain. I walk several miles most days, eat healthily, take Estradial, do light weight lifting 5 days a week and dead-lifting two days week.

I have DEXA data going back 24 years. In all that time I have never had a femur T-score below -1.5. This test showed -3.1. I've schedule a DEXA and am hoping that the REMS data is an error. The REMS showed that the BMD of my spine decreased slightly. That's not shocking. (I'm 68 years old. ) The bone quality scores weren't bad. About 35 for the femur and 32 for the spine.

Ever since I've started getting bone scans, the BMD of my hip has always been much better than for my spine. This is a shocking reversal.

Jump to this post


Replies to "I just got a REMS scan and I am devastated by the results. According to the..."

@anngeorge
Wow, I am sorry to hear that. I would say please get Igor Klibanov’s book Osteoporosis Reversal Secrets to get a basic understanding of what you can do. I’ve checked the research he mentions and it’s legit. How much protein do you get daily? Protein and collagen stimulation build bones. Are you lifting enough weight to get the stress needed to stimulate osteoblasts? One thing my trainer is working on with me is opening my hips and stretching the joints while doing weighted bridges and squats, and impact heel drops and hip bumps.
I would ask if the REMS can be done in that area again? My concern is that you’ve been underserved by the DXA for too long. The research on operator and interpretation error is a that the scans when done absolutely correctly are “gold standard” but that error rates are 80-90%!

@anngeorge Have you spoken with the REMS provider about what appears to be an outlier femor result? If so, what was the response?

Although I think this author might have a financial interest in promoting REMS technology, (and have no time right now to double-check my memory), you might review this article about REMS errors. https://www.boneforte.com/keep-in-touch-with-site-visitors-and-boost-loyalty. He is a good writer; even though very technical, he makes it easy to understand his points.

Good that you have scheduled a DEXA as it is likely best to compare DEXA to DEXA. I would also review all the literature about what can impact the reliability of DEXA results and do some chatting with the tech doing the upcoming DEXA.

Hope you can sort this out with some sort of rational explanation. And also hope you will report back here about what you learn.