@daisy17 I was told this of the Bone Strength Score "How our strength score works compared to a fragility score is it is directly inverted. Meaning that a 30 fragility score is a 70 strength score." They told me they had a 30 year old woman who lifted weights for years and her BSS was 93 so this gave me hope that I wasn't too bad for me at 63. I do not feel confident of my last Dexa results due to the elimination of those two vertebrae and that when I asked the tech who was doing my dexa how she knew if I was positioned the same/correctly, she told me the software took care of that. Uh, no it doesn't. My endocrinologist accepts my decision but my gynecologist was quite stern with me and said "just take the meds!" There was also a discordance of 1.8 between my hips and vertebrae score, I believe that is a flag as well. With the rems, they were .1 apart. I found this somewhere after my Dexa and if anyone has done this, I'd love to know. "If only two vertebrae are left, because the other vertebrae have been eliminated or both hips have been excluded because of hip replacements, then a lateral vertebral assessment (LVA) — a DXA of the mid and upper back or lateral thoracic x-ray — should be done."