@lindamaegirl
Why do you think a REMS test is better? From my reading, the REMs score is often reassuringly better than DEXA but isn’t accurate. Many gyms, temporary screening events, places like Osteostrong set up portable machines and don’t have trained experienced techs doing them.
Arthritis snd strontium can artificially inflates DEXA
Quantitative CT is more accurate but uses more radiation and may not be covered by insurance.
However in my case and my husbands the QCT showed much lower density than the DExa .
His April DEXA showed osteopenia, by July he had fragility fractures , did QCT which showed severe osteoporosis. Those results made him eligible for Evenity.
I am 82 and all my DEXAs over the years showed normal results including the one a few months prior to my QCT which showed osteopenia almost to osteoporosis in one area. That alerted me to take action to prevent it from becoming worse.