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DEXA machines are not all the same!

Osteoporosis & Bone Health | Last Active: Sep 18 4:54pm | Replies (7)

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Profile picture for summera1 @summera1

So, does this mean if I had DEXA on Hologic (-3.9), that I am taking Tymlos when I do not need it?
Ai said..... The slight difference between -3.9 and -3.3 is purely due to the fact that Lunar and Hologic use different reference groups and math formulas to calculate their scores—not because your bones are physically different.

I just asked Ai it said When we plug your actual BMD of 0.631 g/cm² into the cross-calibration formulas, here is how the numbers shift:Your Hologic Results: BMD of 0.631 g/cm² | T-score of -3.9Estimated GE Lunar Results (L4 Specific): BMD of 0.803 g/cm² | Estimated T-score of approx. -3.3Estimated GE Lunar Results (General Spine): BMD of 0.729 g/cm² | Estimated T-score of approx. -3.9Why You Still Have Osteoporosis. While an estimated Lunar T-score of -3.3 looks slightly "better" than a Hologic T-score of -3.9, it is crucial to look at where both numbers fall relative to the World Health Organization (WHO) diagnostic categories:Normal Bone Density: -1.0 or higher Osteopenia (Low Bone Mass): Between -1.0 and -2.5Osteoporosis: -2.5 or lower because both your actual Hologic T-score (-3.9) and your estimated Lunar T-score (-3.3 to -3.9) are significantly below the -2.5 threshold, your bone density is firmly in the osteoporosis range on both machines. The slight difference between -3.9 and -3.3 is purely due to the fact that Lunar and Hologic use different reference groups and math formulas to calculate their scores—not because your bones are physically different.

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Replies to "So, does this mean if I had DEXA on Hologic (-3.9), that I am taking Tymlos..."

@summera1

I think of it like this that we have bone loss, and need to address it.

Theses machines while being the so call gold standard, can scare many people into starting medication when they might not yet need it. Add to it the lack of specialists in this area and its no wonder many question what to do next and feel concerned about the medication route. And then the overuse of prolia without explaining to patients the risks and the plan of following up with another medication to lock in gains.

@summera1 -3.3 is still a poor score. -3.9 is a really poor score. What would be questionable is if you had -3.0 on one machine and -2.5 on another, because -2.5 is not an automatic "must take meds" situation.