@daisy17 Then might REMS be a viable bone density scanning alternative?
"REMS is not affected by strontium. The problem with strontium and dexa is the radiation and how it reacts to the denser strontium. REMS Echolight does not use radiation."

"BMD measured by ultrasound is not affected by the strontium content of bone. An in vitro study concluded that aBMD measured by DXA was prone to overestimation in the presence of strontium, but acoustic parameters measured by quantitative ultrasound (QUS) are independent of strontium concentration."
https://pubmed.ncbi.nlm.nih.gov/29080282/
https://strontiumforbones.blogspot.com/2023/11/echolight-scans-are-not-affected-by.html

@daisy17
Well, Daisy, we just had a long discussion about how that is old and now moot information. The quick synopsis is that yes, dexa over reads strontium ( the strontium dexa skew) because strontium is denser than calcium; the over read is about 10% and really doesn't matter because in terms of bone density "up is up" no matter the amount.
More importantly, REMS and TBS are not affected by strontium denser weight and both of those tests and reports show better bone density, better bone quality for strontium users. Plus research shows strontium prevents fractures around 49% other research shows strontium users have few if any side effects.
So as we strontium users say "God bless the dexa strontium skew".