Hello @pjebp, the research on Radiofrequency Echographic Multi Spectrometry scans is promising: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217295/. The study concluded: "To sum up, REMS technology has proven its worth in osteoporosis diagnosis and in predicting fracture risk in large populations. Future works and ongoing research will help us understand the role of REMS in diagnosis and follow-up in osteoporosis patients with respect to DXA and will also help us understand target populations in which REMS could represent a better alternative to DXA in assessing bone quality and fracture risk."

It is a newer technology that is still being researched, which may be why some medical centers still don't have the machines. Providers often prescribe what they think is best for the patient, but if you have concerns, it is best to ask questions and have an open dialogue about those concerns. @pjebp, if you are comfortable sharing, have you been diagnosed and prescribed a medication but are hoping to seek alternative treatment routes?