Should I pursue a TBS score?
Hi all: my first post, although been lurking a while. What a terrific forum and kind group of people! I've read a few articles touting the growing value of TBS as a complementary tool to DXA, given its ability to measure bone strength. Wondering if anyone here had it done and if it yielded insightful results?
My first baseline DXA this past spring yielded -3.0 (back). Tymlos was recommended since I have major dental issues. I am 55, extremely fit with 35+ years of daily weight training and fairly high protein/clean eating - but am small framed. Could my bones be low density but stronger than avg thru decades of weight bearing exercise? Perhaps if my bones WERE stronger, even though less dense, I could maybe stall starting on these pharma solutions for a year or two?
I asked my PCP: he never heard of TBS. My rheumotologist dismissed it: didn't feel it would change his recommendations. Neither seems to want to write an RX for another DXA.
The facility for my 1st DXA can't do TBS or I'd just have them add it. No one will add a TBS score to an existing DXA unless it was done at their facility- and I need an RX to get a new DXA.
I was slated to start Tymlos this month. Do you think it's better to pause, find a new doc willing to write a DXA RX and see what the TBS reveals, before committing to a lifetime regimen of drug therapy (I have no clue what I'll be able to take after Tymlos, given my dental problems, which worries me.)
Any opinions most welcome! 🙂