@mayblin I do plan to ask my Endo about this. It's very surprising to me. I think I'd like to get a second scan done to have another data point to work with. I don't have any of the conditions that typically cause the TBS score to be so much worse than the density. I have taken an SSRI for many years and I wonder if that may be the culprit. The doctor that prescribed the meds denied they did this to my bones, but I read in multiple places SSRI's do have an impact on the bones. Thanks for listening.