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Difference in scores between DEXA and REMS

Osteoporosis & Bone Health | Last Active: Feb 12 9:05pm | Replies (46)

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Profile picture for atovmassian @atovmassian

@cfbutler I agree with you.

I had my first DEXA scan in July 2024, and I was told I have severe osteoporosis in my lumbar spine. Going forward, I had breast cancer in July 2025, and I was put on hormone blocker medication, which will damage the bones due to a lack of estrogen. In November, I had a REMS scan and showed osteopnea. They want me to start bone medication called Zometa, which I've been refusing. Had another DEXA done a few days ago, and it has gotten worse. Scheduled for REMS scan at the end of this month to compare the results again.
Doctors' focus is to give you medication, the only solution they have, which is so frustrating. They don't understand how difficult it is to be in a physical and emotional stage.

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Replies to "@cfbutler I agree with you. I had my first DEXA scan in July 2024, and I..."

@atovmassian
I am sorry to hear you’re going through that. Yes, hormone blockers will cause more bone loss. I hope you can look into increasing protein and some weights to help mitigate it. I would also ask for blood and urine tests to verify how much osteoclast is happening. Also, I would ask to see my DEXA images to see what could be causing the disconnect with REMS. In my case, I could see that my spine was slightly rotated which made a gap or negative space happen. Dr Nick Burch has a video that explains how to read images in a basic way. I hope you find healing