We have four spots remaining for this Friday's REMS bone scan at Wellness Architecture. If you have been thinking about it, now is the time.
Here is why this matters — and why I have been wanting to bring this into my practice for a long time.
Your DEXA Result May Not Be Telling You the Full Story
DEXA has been the standard for osteoporosis diagnosis for decades. It measures bone density and produces a T-score. That number then determines whether you are told you are normal, osteopenic, or osteoporotic — and often whether you are put on medication.
The problem is that bone density is not the same thing as bone strength. And DEXA is heavily influenced by body size — in both directions. For small, thin, or petite women, it tends to over-diagnose, reading smaller bones as less dense even when bone quality is excellent. For taller or heavier women, it can do the opposite — producing a reassuring result that does not reflect what is actually happening in the bone architecture underneath. Body size inflates the reading, and women who feel confident based on a normal DEXA may be carrying more fragility risk than the number suggests.
If you read our recent blog, you already know the story. An orthopedic surgeon told me about his wife — diagnosed with severe osteoporosis on DEXA, went ice skating last winter, fell more than once, broke nothing. He was not surprised because he had run a REMS scan on her. Her Fragility Score was low. Her bones were actually strong. What the DEXA was reading as severe osteoporosis was largely a reflection of the fact that she is five feet tall and weighs 105 pounds.
If you missed it, the full story is here: She Fell on Ice Multiple Times and Broke Nothing. Her DEXA Said She Should Have.
She was not fragile. She was small. DEXA cannot always tell the difference. REMS can.
What REMS Actually Measures
REMS uses ultrasound rather than X-rays — no radiation. It examines the same sites as DEXA but produces something DEXA cannot: the Fragility Score. This number reflects the internal architecture of your bone, how well it is structured to absorb and distribute force. That is what actually determines whether you fracture when you fall. And unlike DEXA, it is independent of your body size.
A low Fragility Score means strong bones regardless of what your T-score shows. A high Fragility Score can reveal real bone fragility even when DEXA looks acceptable. Both directions matter — and both are invisible to DEXA alone.
Who This Is For
This Friday's session is worth booking if:
- You have had an alarming DEXA result and want to know whether it reflects your actual bone quality or your body size
- You have been told you need osteoporosis medication and want a more complete picture before deciding
- You have never had a bone assessment and want a radiation-free baseline
- You are in perimenopause or menopause and know that bone loss accelerates during this transition
- You want to know where you actually stand, not just what the density number says
Four Spots. This Friday.
We have four appointments remaining. When they are gone, the next opportunity will depend on scheduling availability.
Book your REMS scan here — 4 spots remaining for this Friday. When you click, select September 18th to see available times. If you click and nothing is left, email us at info@wellnessarchitecture.com and we will do our best to accommodate you.
If you have questions about whether this is the right step for you, schedule a quick Discovery Call and we can talk it through.
For the full clinical picture on what REMS reveals that DEXA cannot, read the full article here: Why Your DEXA Scan May Be Misleading You About Your Bone Health.