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You can see discussions of REMS scans as adjunct to DEXA elsewhere in this forum.

Here is just one reference.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11988531/
EXCERPT: ". Conclusions
In conclusion, REMS technology effectively identifies cases of osteoporosis and osteopenia, representing a significant advance in detecting and monitoring osteoporosis. This technology ... does not use ionising radiation ..."

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Replies to "You can see discussions of REMS scans as adjunct to DEXA elsewhere in this forum. Here..."

@kfhoz Thank you for this! Much appreciated.

New research reported today by @j1976 has changed my perspective on REMS. You can see that person's comments and my response here:
https://connect.mayoclinic.org/discussion/what-decision-to-make-regarding-osteoporosis/