REMS® Helps You Make Better Bone Health Decisions.
Whether you're preventing bone loss, evaluating treatment, tracking progress, or simply wanting to understand your bones better, REMS® provides a more complete picture to help guide your next decision.
You already have a bone diagnosis.
Same Density. Different Future.
Two people can have the same T-score.
One fractures.
One never does.
The difference isn't always how much bone they have—it's how that bone is built.
REMS adds bone quality (Fragility Score) and estimated 5-year fracture risk, helping you see beyond density before making important treatment decisions.
Because the real question isn't how much bone you have. It's whether it will hold.
Are Your Bones Small—or Are They Fragile?
Petite women often build less peak bone mass, leaving a smaller reserve as bone is naturally lost with age.
But smaller bones can also appear to have lower density on DXA because the measurement is influenced by bone size.
REMS goes beyond density by also evaluating bone quality, helping answer the question that density alone cannot:
Are your bones simply small and strong —or are they becoming fragile?
Because size and strength are not the same thing.
Your Genes Shape Your Bones—Not Your Future.
Genetics account for up to 80–85% of peak bone mass, influencing how much bone you build, your collagen framework, and how your skeleton remodels throughout life.
If osteoporosis runs in your family, your lifetime fracture risk may be higher.
DXA measures bone density. REMS also evaluates bone quality, providing a more complete picture of how your inherited bone strength is expressed today—not just your genetic risk.
You can't change your genes. You can change how you respond to them.
Something in your life may be quietly affecting your bones.
These explain the mechanism of bone loss.
Your Treatment Plan Should Include Your Bones.
Some cancer therapies save lives by reducing estrogen or testosterone—but those same hormonal changes can accelerate bone loss.
REMS also evaluates also bone quality, helping provide a more complete picture of how your bones are responding during treatment.
Radiation-free REMS® provides a safe option for repeated assessments without additional ionizing radiation.
Because protecting your future means protecting your bones.
One of the Fastest Periods of Bone Loss.
As estrogen declines, bone is broken down faster than it is rebuilt. During the menopause transition, women can lose up to 20% of their bone within 5–7 years—often without any symptoms.
DXA measures only how much mineral Changes in bone quality may occur before density fully reflects what's happening.
REMS evaluates both bone density and bone quality, providing a more complete picture of your bones while there may still be opportunities to influence the outcome through lifestyle, nutrition, exercise, hormone therapy, or other treatments.
The earlier you know, the more choices you'll have.
Losing Weight Can Mean Losing Bone
During rapid weight loss, your skeleton experiences less mechanical loading, often receives fewer nutrients, and may lose lean muscle—all of which influence bone remodeling.
The internal structure of bone can be affected even while density tells only part of the story.
REMS evaluates both bone density and bone quality, providing a more complete understanding of your bones and supporting earlier conversations about resistance training, protein, calcium, vitamin D, and other strategies to preserve bone health.
Healthy weight loss should preserve muscle and bone.
Your Bones May Be Weaker Than Your Density Suggests.
People with type 2 diabetes often have normal—or even higher—bone density, yet their fracture risk is significantly higher.
Why? High blood sugar changes the collagen framework inside bone, making it more brittle without necessarily reducing the amount of mineral.
DXA measures bone density. REMS also evaluates bone quality, providing a more complete picture when density alone may underestimate fracture risk.
Strong-looking bones aren't always strong bones.
Healthy bones begin with a healthy gut.
Bone is constantly breaking down and rebuilding. That process depends on a steady supply of protein, calcium, vitamin D, magnesium, and other nutrients reaching your bloodstream.
Digestive disorders can reduce nutrient absorption, leaving your body without the building blocks needed to maintain strong, healthy bone.
DXA measures how much mineral is already in your bones. REMS also evaluates bone quality, providing a more complete picture of how long-term nutrient deficiencies may be affecting bone strength.
Your Bones Are Built From What You Absorb, Not Just What You Eat.
When Your Thyroid Is Out of Balance, Your Bones Are Too.
Thyroid hormones control bone remodeling. When thyroid hormone levels are out of balance, normal bone renewal is disrupted.
Over time, this can weaken bones and increase fracture risk.
Excess thyroid hormone, whether from hyperthyroidism or excessive thyroid replacement, can accelerate bone loss by causing bone to break down faster than it is rebuilt.
REMSproviding a more complete picture of how thyroid imbalance may be affecting your bones.
Healthy bones depend on balanced hormones.
Your Immune System Talks to Your Bones.
Chronic inflammation releases chemical signals that stimulate the cells that break down bone. Many autoimmune conditions—and some of the medications used to treat them, such as long-term corticosteroids—can further increase bone loss and fracture risk.
REMS evaluates both bone density and bone quality, providing a more complete picture of how inflammation may be affecting your bones.
Inflammation doesn't stay in your joints.
Some Medications Can Protect One Part of Your Health While Affecting Another.
Certain medications can gradually affect the way your bones are built and maintained. Common examples include:
Glucocorticoids (steroids) (prednisone, dexamethasone) – increase bone breakdown and reduce new bone formation.
Aromatase inhibitors (anastrozole, letrozole, exemestane) – reduce estrogen, accelerating bone loss.
Androgen deprivation therapy (ADT) for prostate cancer (leuprolide, goserelin) – lowers testosterone, increasing bone loss.
Proton pump inhibitors (PPIs) (omeprazole, pantoprazole) – long-term use may reduce calcium absorption and is associated with increased fracture risk.
Certain anti-seizure medications (phenytoin, carbamazepine, phenobarbital) – alter vitamin D metabolism, reducing calcium absorption.
Some immunosuppressive medications, especially when combined with steroids, may also affect bone health.
Protect your bones while protecting your health.
More Ways REMS Can Help
From treatment decisions to healthy aging, REMS provides a more complete picture of bone health when it matters most.
Sometimes the Challenge Isn't Your Bones—It's How They're Measured.
Traditional DXA measures bone density using X-rays. In some situations, the result can be more difficult to interpret because factors other than healthy bone may influence the measurement.
REMS uses advanced ultrasound signal analysis to evaluate both bone density and bone quality, while reducing the impact of many non-bone artifacts.
Examples include:
Arthritis & Bone Spurs – Extra bone growth and osteoarthritis can artificially increase spine bone density, making bones appear stronger than they really are.
Degenerative Spine Changes – Age-related calcification, disc degeneration, and spinal wear can elevate DXA measurements without improving true bone strength.
Scoliosis – Curvature of the spine can make consistent positioning difficult, affecting the accuracy and comparison of repeat DXA measurements.
Previous Spine Surgery or Hardware – Metal implants and surgical changes may interfere with traditional X-ray measurements or make some areas impossible to evaluate.
Hip Replacement – An artificial hip cannot be measured by DXA, limiting assessment of that side and reducing the information available.
Petite Frame – Smaller bones naturally contain less mineral and can appear to have lower areal bone density on DXA because the measurement is influenced by bone size.
Because the best decisions start with the clearest picture.
The Right Decision Starts With the Right Information.
Some decisions can affect your bones for years to come. Before choosing a treatment or procedure, understanding more than bone density can help you and your healthcare provider make more informed decisions.
REMS may provide valuable information before:
Osteoporosis medication
Joint or spine surgery
Dental implants
Cancer treatment
GLP-1 therapy
Hormone therapy
Long-term corticosteroid treatment
REMS evaluates bone density, bone quality (Fragility Score), and estimated 5-year fracture risk, providing a more complete picture before important decisions.
Important decisions deserve more than a single number.
Don't Wait for a Diagnosis.
Not everyone starts adulthood with the same bones. Your bone strength today reflects decades of genetics, nutrition, hormones, health, and lifestyle. Some people never build optimal bone strength—and don't know it.
A baseline assessment can help you:
Understand where you are today
Identify low bone density or poor bone quality early
Detect changes before symptoms appear
Track the impact of lifestyle, nutrition, or exercise
Support healthy aging and longevity
Monitor meaningful changes over time
REMS evaluates both bone density and bone quality, providing a more complete picture of your bones before problems develop.
The earlier you know, the more choices you'll have.
Ready when you are.
Book a complimentary appointment now; public scan events open mid-Summer 2026. Schedule yours, or if you're a provider or organization, bring REMS® to the people you serve.