{"id":6414,"date":"2020-11-17T17:00:08","date_gmt":"2020-11-17T22:00:08","guid":{"rendered":"https:\/\/food4healthybones.com\/?p=6414"},"modified":"2024-03-30T04:49:16","modified_gmt":"2024-03-30T08:49:16","slug":"dxa-and-tbs-bone-tests","status":"publish","type":"post","link":"https:\/\/food4healthybones.com\/blog\/dxa-and-tbs-bone-tests\/","title":{"rendered":"My DXA 2020"},"content":{"rendered":"\n<p>My latest DXA and TBS report.&nbsp; As a reminder, I was diagnosed with osteopenia in 2005 and given a script for Fosamax. I declined.&nbsp; My intention was to implement my 6 pillars for bone health for a better outcome:&nbsp;<\/p>\n\n\n\n<ol>\n<li>Calcium and mineral rich-foods<\/li>\n\n\n\n<li>Researched supplements (I get my calcium through food)<\/li>\n\n\n\n<li>Weight bearing exercise<\/li>\n\n\n\n<li>Stress reduction<\/li>\n\n\n\n<li>Sleep hygiene<\/li>\n\n\n\n<li>Bringing joy to my everyday<\/li>\n<\/ol>\n\n\n\n<p>I took my 90 minutes pilgrimage to Hospital of The University of Pennsylvania. DXA during Covid of course had its moments. Masks, temperature testing, hand sanitizer, distancing...we all know the necessary Covid drill.<\/p>\n\n\n\n<!--more-->\n\n\n\n<p>Below I\u2019m positioned so that my ankles are pointing inward which guarantees a proper reading of the hips. Clearly not a \u201cglam\u201d shot but hopefully you get the message.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irma-feet-in-block-for-dxa-test.jpeg\" alt=\"Irma feet in block for DXA test\" class=\"wp-image-6399\" style=\"width:384px;height:512px\" srcset=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irma-feet-in-block-for-dxa-test.jpeg 768w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irma-feet-in-block-for-dxa-test-225x300.jpeg 225w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><\/figure>\n\n\n\n<p>Great outcome for my hips and spine all going in the right direction over time.&nbsp; Note the colors in the reports....GREEN!<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">My Spine - TBS<\/h3>\n\n\n\n<p>Below is the Trabecular Bone Score or TBS of my spine. Simply put, the TBS measures the inner bones, while DXA measures the outer bone. Color falls into the<strong>&nbsp;<span class=\"has-inline-color has-vivid-green-cyan-color\">green<\/span>&nbsp;<\/strong>normal area. Inner bones look good.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"723\" height=\"1024\" src=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/trabecular-bone-score-of-the-spine-723x1024.png\" alt=\"Trabecular bone score of the spine\" class=\"wp-image-6453\" srcset=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/trabecular-bone-score-of-the-spine-723x1024.png 723w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/trabecular-bone-score-of-the-spine-212x300.png 212w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/trabecular-bone-score-of-the-spine-768x1087.png 768w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/trabecular-bone-score-of-the-spine.png 852w\" sizes=\"(max-width: 723px) 100vw, 723px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">My Spine - DXA<\/h3>\n\n\n\n<p>Below is my DXA for my spine measurement. It also falls into the&nbsp;<strong><span class=\"has-inline-color has-vivid-green-cyan-color\">green<\/span><\/strong>&nbsp;(normal) section.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"793\" height=\"1024\" src=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/dxa-test-spine-2020-1-793x1024.png\" alt=\"\" class=\"wp-image-6454\" srcset=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/dxa-test-spine-2020-1-793x1024.png 793w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/dxa-test-spine-2020-1-232x300.png 232w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/dxa-test-spine-2020-1-768x992.png 768w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/dxa-test-spine-2020-1.png 852w\" sizes=\"(max-width: 793px) 100vw, 793px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">My Hip - DXA<\/h3>\n\n\n\n<p>Also measures in the&nbsp;<strong><span class=\"has-inline-color has-vivid-green-cyan-color\">green<\/span>&nbsp;<\/strong>normal range.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"793\" height=\"1024\" src=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/hip-bone-test-result-2020-793x1024.png\" alt=\"\" class=\"wp-image-6455\" srcset=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/hip-bone-test-result-2020-793x1024.png 793w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/hip-bone-test-result-2020-232x300.png 232w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/hip-bone-test-result-2020-768x992.png 768w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/11\/hip-bone-test-result-2020.png 852w\" sizes=\"(max-width: 793px) 100vw, 793px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">My Tracking Chart<\/h3>\n\n\n\n<p>The chart below shows the type of machine used. Each machine has a serial number. If you\u2019re looking at a DXA comparison it\u2019s important to know the DXA machine and the serial number.&nbsp; That serial number can usually be found in the lower right corner of your DXA report.&nbsp; The 2016 ad 2014 were on GE Lunar Prodigy but different machines as shown by the serial numbers.<\/p>\n\n\n\n<p>Yet look at my Forearm numbers\u2026..<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"805\" src=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irmas-dxa-history-1024x805.png\" alt=\"My DXA tests\" class=\"wp-image-6425\" srcset=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irmas-dxa-history-1024x805.png 1024w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irmas-dxa-history-300x236.png 300w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irmas-dxa-history-768x604.png 768w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2020\/10\/irmas-dxa-history.png 1254w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Suddenly I was in the range for osteoporosis and my doctor suggested I see an endocrinologist.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">My Next Steps<\/h3>\n\n\n\n<p>Dr. Keith McCormick suggested getting a follow-up CMP (Comprehensive Metabolic Panel) blood test next year.&nbsp; This test measures calcium levels which I will keep track of.&nbsp; &nbsp;<\/p>\n\n\n\n<p>He uses blood work for a&nbsp;<a href=\"https:\/\/food4healthybones.com\/blog\/complete-blood-count-cbc-value-when-assessing-osteoporsis-related-fracture-risk\/\" target=\"_blank\" rel=\"noreferrer noopener\">deeper dive into bone health.<\/a><\/p>\n\n\n\n<p>Also, my trusted and generous friend, who has been in the osteoporosis trenches for many decades, suggested I get and track bone markers:<\/p>\n\n\n\n<ul>\n<li>CTX (full name Carboxyterminal cross-linking telopeptide of bone collagen) which is a bone resorption marker and<\/li>\n\n\n\n<li>P1NP (full name Procollagen type 1 N propeptide) which measures bone formation. If my doctor won\u2019t write a script for this test, I\u2019ll go to&nbsp;<a href=\"https:\/\/www.lifeextension.com\/search#t=coveo4A2453FD&amp;f:hconcerns=[Health%20Concerns,Bone%20Health]&amp;f:itemtypes=[Item%20Type,Lab%20Tests]\" target=\"_blank\" rel=\"noreferrer noopener\">Life Extensions<\/a>&nbsp;for the script.<\/li>\n<\/ul>\n\n\n\n<p>Dr. Lani Simpson suggested there may be something wrong with the forearm test and suggested getting it re-analyzed.&nbsp; I\u2019m in the process of working with the technician who performed&nbsp; the DXA\/TBS.&nbsp; The region of interest in the forearm is Radius 33% often reported at 1\/3 distal radius. I also reached out to Dr. Deva Boone who specializes in parathyroid disease.<\/p>\n\n\n\n<p>It takes a community.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Forearm<\/h3>\n\n\n\n<p>Why is the non-dominant forearm added to the DXA\/ TBS report?<\/p>\n\n\n\n<p>The spine and hip may have arthritis yet the DXA shows up with stronger results.&nbsp; The forearm may be a possible indication of parathyroid issues.<\/p>\n\n\n\n<ul>\n<li>\u201cPrimary hyperparathyroidism: While this is a systemic disease affecting the entire skeleton, the lowest BMD is most often the forearm, which may be the only site at which BMD is less than \u20132.5. In this case, the result should influence the decision regarding surgical cure of primary hyperparathyroidism (PHPT).\u201d [i]<\/li>\n<\/ul>\n\n\n\n<p>The learning continues.&nbsp;&nbsp;<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">TIPS<\/h3>\n\n\n\n<p>My DXA \/ TBS score was performed at:<\/p>\n\n\n\n<p>The Hospital of the University of Pennsylvania<\/p>\n\n\n\n<p>3400 Civic Center Blvd. \u2013 Ground Floor<\/p>\n\n\n\n<p>Philadelphia, PA<\/p>\n\n\n\n<p>phone: 215-662-5680 to book a DXA (numbers may change so ask for radiology to book your DXA.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">My script reads:<\/h3>\n\n\n\n<ul>\n<li>DXA bone density, axial CPT 77080<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>DXA bone density \/ peripheral CPT: 77081<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Includes TBS, peripheral forearm.<\/li>\n<\/ul>\n\n\n\n<p>I requested a&nbsp;<strong>full colored copy of my reports<\/strong>&nbsp;BEFORE I left. However Penn\u2019s portal is fabulous and reports can be downloaded.<\/p>\n\n\n\n<p>I\u2019m feeling good about the results.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>If you\u2019d like to schedule a private session with me, kindly view those details<a href=\"https:\/\/calendly.com\/your-bones\/one-hour-private-bone-consultation\">&nbsp;HERE<\/a><\/p>\n\n\n\n<p>You\u2019ll gain insights, get support as we craft a bone plan, food plan and  it's where your bone questions will be answered.<\/p>\n\n\n\n<p>The cost for my discovery one-hour session is $200 and is followed-up with a full set of recommendations for the \u201cnext steps\u201d on your bone journey.<\/p>\n\n\n\n<p>Thank you for your time today. I hope my shared experience is helpful.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"wp-block-group__inner-container\">\n<figure class=\"wp-block-image size-medium\"><a href=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2024\/02\/Irma-Image-for-Signoff.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2024\/02\/Irma-Image-for-Signoff-300x300.png\" alt=\"Irma Jennings\" class=\"wp-image-10571\" srcset=\"https:\/\/food4healthybones.com\/wp-content\/uploads\/2024\/02\/Irma-Image-for-Signoff-300x300.png 300w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2024\/02\/Irma-Image-for-Signoff-150x150.png 150w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2024\/02\/Irma-Image-for-Signoff-500x500.png 500w, https:\/\/food4healthybones.com\/wp-content\/uploads\/2024\/02\/Irma-Image-for-Signoff.png 650w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/figure>\n\n\n\n<h4 class=\"wp-block-heading has-text-color has-link-color has-x-large-font-size wp-elements-789ea64c19c0f22153300692f44dfde5\" style=\"color:#1f572a\">From my bones to yours,<\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-text-color has-link-color has-large-font-size wp-elements-0b36f28f3923ba6f849f8083a76e51e0\" style=\"color:#1f572a\">Irma Jennings, INHC<br><a href=\"https:\/\/food4healthybones.com\/coaching-program\/\" target=\"_blank\" rel=\"noreferrer noopener\">Osteoporosis Patient Navigator<\/a><\/h4>\n<\/div><\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>If you\u2019re confused about how to Feed Your Glorious Bones?\u00a0 My guide will help.<br>Click below for more details.<\/p>\n\n\n\n<p><a href=\"https:\/\/irmajennings.samcart.com\/products\/easy-cooking-for-bone-health-guide\/\" target=\"_blank\" rel=\"noreferrer noopener\">7 Day Meal Plan \u2013 Easy Cooking for Bone Health Guide<\/a><\/p>\n\n\n\n<p>https:\/\/www.healio.com\/news\/endocrinology\/20141203\/forearm-dxa<\/p>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-css-opacity has-background is-style-wide\" style=\"background-color:#20572a;color:#20572a\"\/>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"bottom-cta-box\">\n\n<h2>Let Me Support Your Bones<\/h2>\n\n<h3><span><strong>Get Customized In-Depth Private Session<\/strong><\/span><\/h3>\n<p class=\"center-sub\"><span><strong>Book a Private Coaching with Irma Now<\/strong><\/span><\/p>\n<button><a href=\"https:\/\/food4healthybones.com\/consult-with-irma\/\" target=\"_blank\" rel=\"noopener noreferrer\">Learn More<\/a><\/button>\n\n<hr class=\"separator\">\n\n<h3><span><strong>Join Our Amazing Bone Tribe Community<\/strong><\/span><\/h3>\n<p class=\"center-sub\"><span><strong>Get the support &amp; information you need to live fearlessly with your bones diagnosis<\/strong><\/span><\/p>\n<button><a href=\"https:\/\/irmajennings.samcart.com\/products\/bones-tribe-membership\/\" target=\"_blank\" rel=\"noopener noreferrer\">Join Us Now!<\/a><\/button>\n\n\n<\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><a href=\"https:\/\/irmajennings.activehosted.com\/f\/11\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>My latest DXA and TBS report.&nbsp; As a reminder, I was diagnosed with osteopenia in 2005 and given a script for Fosamax. I declined.&nbsp; My intention was to implement my 6 pillars for bone health for a better outcome:&nbsp; I took my 90 minutes pilgrimage to Hospital of The University of Pennsylvania. DXA during Covid [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":6454,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"wprm-recipe-roundup-name":"","wprm-recipe-roundup-description":"","footnotes":""},"categories":[2,7],"tags":[21,122,283,38,37,255],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Irma Jennings&#039; Bone Health Test Results (DXA) 2020<\/title>\n<meta name=\"description\" content=\"My latest DXA and TBS report. 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