It sounds like you have your full DEXA report but it doesn’t sound like there is a trabecular bone score. From what I’ve read, even if your imaging center has TBS capabilities (most imaging facilities do not), your doctor would have had to specifically requested a DEXA w/ TBS.
Additionally, there is a report for TBS that clearly states a TBS for total lumbar spine and for L1 through L4 individually.

The nutrients thing is a bit overwhelming. It’s great that you eat nutritious foods. Mira and Jayson Calton (Rebuild your Bones) pretty much say everyone is vitamin/mineral deficient because it’s impossible to meet the RDAs on a diet that doesn’t involve consuming a ton of calories. I tried talking to a dietitian in December 2021 but honestly, she wasn’t much help.

Your doctor(s) should be willing to work with you and order the BTM tests for you. If your endocrinologist refuses ask your PCP or OB/GYN or go to a telehealth doctor.

I haven’t made up my mind about HRT quite yet but if I take that route, I will post about my experience/results.