{"id":50822,"date":"2022-04-18T09:30:01","date_gmt":"2022-04-18T13:30:01","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=50822"},"modified":"2022-11-11T14:20:09","modified_gmt":"2022-11-11T19:20:09","slug":"bone-density-test-results","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/bone-density-test-results\/","title":{"rendered":"What do bone density test results mean?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#what-is-bone-density-test\">What is a bone density test?<\/a> | <a href=\"#causes-risks\">Causes and risk factors<\/a> | <a href=\"#preparation\">Bone density test preparation<\/a> | <a href=\"#prices\">Prices<\/a> | <a href=\"#results\">Bone density test results<\/a> | <a href=\"#osteopenia-vs-osteoporosis\">Osteopenia vs. osteoporosis<\/a> | <a href=\"#treatment\">Treatment<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Having <\/span><a href=\"https:\/\/www.bones.nih.gov\/health-info\/bone\/bone-health\/bone-health-life-health-information-basics-you-and-your-family\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">strong bones<\/span><\/a><span style=\"font-weight: 400;\"> is important to your health. They help you move and protect your internal organs from injury. Aging and certain medical conditions can weaken bones, resulting in low bone mass or low bone density. <\/span><a href=\"https:\/\/medlineplus.gov\/bonedensity.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Bone density<\/span><\/a><span style=\"font-weight: 400;\">, or bone mineral density, refers to the amount of calcium and other minerals in your bone per volume measurement. \u201cThe higher your bone mineral density is, the stronger your bones are,\u201d says <\/span><a href=\"https:\/\/theinsidermd.com\/about\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Ellen Johnson MD<\/span><\/a><span style=\"font-weight: 400;\">, a board-certified radiologist in North Andover, Massachusetts. \u201cLower bone mineral density increases your risk of fracture.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s possible to have weak bones without even knowing it. People often don&#8217;t have any symptoms until they break a bone. To prevent this, your healthcare provider may order a bone density test, or bone density scan, if you meet certain criteria.\u00a0<\/span><\/p>\n<h2 id=\"what-is-bone-density-test\">What is a bone density test?<\/h2>\n<p><span style=\"font-weight: 400;\">Bone density is most commonly measured by a test called a DEXA scan (also called a DXA test), which uses X-rays to measure the amount of bone mineral, most commonly in your hips and lower spine. A DEXA scan is a quick and painless procedure that is very accurate at detecting bone loss. \u201cUnlike ordinary X-rays, DEXA scans can measure tiny losses in bone density. This makes it possible to catch osteoporosis in its early stages,\u201d Dr. Johnson says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cOther [preliminary] methods to measure bone density include ultrasound, quantitative computed tomography (QCT), and peripheral dual-energy X-ray absorptiometry (pDEXA),\u201d explains <\/span><a href=\"https:\/\/www.imagingandinterventional.com\/contents\/about-us\/about-the-practice\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Gethin Williams, MD, Ph.D.<\/span><\/a><span style=\"font-weight: 400;\">, a medical director at Imaging and Interventional Specialists in El Paso, Texas. Portable machines, called peripheral devices, can measure bone density at your finger, wrist, or heel\u2014but they usually aren\u2019t as accurate as medical tests taken at the spine or hip. Any findings from these tests should be confirmed with a DEXA scan.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"http:\/\/www.bonehealthandosteoporosis.org\/wp-content\/uploads\/2016\/02\/Bone-Density-Testing.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Osteoporosis Foundation<\/span><\/a><span style=\"font-weight: 400;\"> recommends testing on the following schedule:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Women age 65 and older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Men age 70 and older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Men and women older than 50 who have broken a bone recently<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Your provider may also order a bone density measurement if you have reached a certain age and have risk factors for osteoporosis. Other national organizations have published different guidelines on osteoporosis screening. For instance, the <\/span><a href=\"https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/osteoporosis-screening\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">United State Preventive Task Force Service guideline<\/span><\/a><span style=\"font-weight: 400;\"> states that there is insufficient evidence to recommend osteoporosis screening in men.\u00a0<\/span><\/p>\n<h2 id=\"causes-risks\">What causes low bone density?<\/h2>\n<p><span style=\"font-weight: 400;\">As you grow, your bones are constantly breaking down old bone and generating new bone material. Most people reach their peak bone mass by age 30 after which, your body stops making new bone at the same rate it&#8217;s broken down. Meaning, bone mass decreases more quickly than it is replaced.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Risk factors for osteoporosis<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">When your bone density gets too low, you\u2019re at risk for osteoporosis. Your risk depends on many different factors\u2014some of which are not in your control and some which can be helped with lifestyle changes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are several risk factors for developing osteoporosis including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Family history of osteoporosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sex, women are more likely to develop osteoporosis especially after menopause<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Race, people who are white or of Asian descent have higher risk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Age, your risk increases as you get older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Size, people with smaller frames have higher risk because they have less bone mass to begin with<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Smoking tobacco<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive alcohol consumption\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Very low body weight due to an eating disorder<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedentary lifestyle<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain medical conditions, such as gastrointestinal diseases that affect nutrient absorption, cancer, multiple myeloma, rheumatoid arthritis, or kidney disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain long-term medication use, especially steroids like prednisone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Change in hormone levels<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In men, a drop in testosterone can decrease bone density; this can occur during prostate cancer treatment. In women, a drop in estrogen can lead to bone loss; this may occur for postmenopausal women or with certain cancer treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In general, anything that causes chronic inflammation\u2014including infection\u2014can lead to decreased bone density because of the continuous production of pro-inflammatory cytokines. \u201cCytokines are small molecules that help regulate the immune system,\u201d Dr. Williams says. \u201cNormal bone metabolism involves a balance of bone destruction and formation called bone turnover. Since cytokines promote osteoclasts (cells that destroy bone) and inhibit osteoblasts (cells that build bone), the normally balanced bone turnover is abnormally unbalanced, promoting bone destruction.\u201d This leads to abnormally decreased bone density.<\/span><\/p>\n<h2 id=\"preparation\">How to prepare for a bone density scan<\/h2>\n<p><span style=\"font-weight: 400;\">A DEXA scan is a quick, painless procedure, usually lasting only five to 10 minutes. The following steps can make it go even more smoothly.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Wear loose, comfortable clothing, without metal zippers, belts, or buttons.<\/b><span style=\"font-weight: 400;\"> These may obscure your hip or spine during the test.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stop taking calcium supplements at least 24 hours before the test. <\/b><span style=\"font-weight: 400;\">They may artificially elevate your score.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Discuss special health concerns with your provider. <\/b><span style=\"font-weight: 400;\">For example, if you\u2019re pregnant or breastfeeding or recently had other scans or tests, you may need to delay your bone density scan. \u201cContrast material used in radiology or materials used in nuclear medicine may interfere with your bone density scan,\u201d Dr. Williams says.<\/span><\/li>\n<\/ul>\n<h3 id=\"prices\">How much does a bone density test cost?<\/h3>\n<p><span style=\"font-weight: 400;\">Without insurance, a DEXA scan can cost <\/span><a href=\"https:\/\/www.choosingwisely.org\/patient-resources\/bone-density-tests\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">$125<\/span><\/a><span style=\"font-weight: 400;\">. However, as a preventative screening, bone density tests are typically covered by insurance for at-risk patients, according to <\/span><a href=\"https:\/\/americanbonehealth.org\/bone-density\/insurance-coverage-for-bone-density-tests\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Bone Health<\/span><\/a><span style=\"font-weight: 400;\">. Medicare Part B also covers bone density tests every 24 months as long as you meet <\/span><a href=\"https:\/\/www.medicare.gov\/coverage\/bone-mass-measurements\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">certain conditions<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"results\">Bone density test results<\/h2>\n<p><span style=\"font-weight: 400;\">DEXA scan results include a T-score and a Z-score. They are calculated by how many standard deviations (SD) your test is from the reference point.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>T-score:<\/b><span style=\"font-weight: 400;\"> The difference between your bone mineral density (BMD) and a healthy young adult (30-year-old). Used to diagnose osteoporosis related to aging.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Z-score:<\/b><span style=\"font-weight: 400;\"> The difference between your BMD and someone of your age, race, height, and weight. Used to diagnose <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4919174\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">secondary osteoporosis<\/span><\/a><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"> (caused by another medical condition) or osteoporosis in children, teens, premenopausal women, and men younger than 50.<br \/>\n<\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The two scores are calculated the same way, just compared to different groups.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><strong><span class=\"title\">Bone density T-score<\/span><\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><span style=\"color: #ffffff;\"><b>T-score<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Meaning<\/b><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">-1.0 SD or greater<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Between -1.0 SD and -2.5 SD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Low bone density or osteopenia<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">-2.5 or lower<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Osteoporosis<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><strong><span class=\"title\">Bone density Z-score<\/span><\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><span style=\"color: #ffffff;\"><b>Z-score<\/b><\/span><\/td>\n<td><span style=\"color: #ffffff;\"><b>Meaning<\/b><\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">-1.0 SD or greater<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Normal<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Between -1.0 SD and -2.5 SD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Low bone density<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">-2.5 or lower<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Secondary osteoporosis<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"osteopenia-vs-osteoporosis\">Osteopenia vs. osteoporosis<\/h2>\n<p><span style=\"font-weight: 400;\">Osteopenia and osteoporosis are two disorders of low bone mineral density, says <\/span><a href=\"https:\/\/www.nychealthandhospitals.org\/doctors\/jaiswal-rajnish\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Rajnish Jaiswal, MD<\/span><\/a><span style=\"font-weight: 400;\">, associate chief of emergency medicine at NYC Health and Hospitals Metropolitan Hospital in New York. With both conditions, your bone mass is lower than usual for your age, but osteopenia is less severe.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Osteopenia is low bone density (T-score between -1 and -2.5 SD). Osteopenia is the middle ground between a normal bone density and osteoporosis. \u201cAs we age, osteopenia is a natural process, but if it progresses to osteoporosis, the bones can become so thin and weak that a minor fall or even everyday activities can cause a fracture,\u201d Dr. Williams says. With medical advice and lifestyle modifications, like diet and exercise, it can frequently be prevented from progressing to osteoporosis. The <\/span><a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db405.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">CDC<\/span><\/a><span style=\"font-weight: 400;\"> shows that 43% of adults 50 and older have osteopenia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The diagnosis of osteoporosis is based on a T-score equal to or lower than -2.5 SD. Bones have a thick cortex, or strong outer layer, surrounding a central area that looks like a kitchen sponge. \u201cWith osteoporosis, the normal little porous holes become much more prominent,\u201d explains Dr. Johnson. \u201cThe central \u2018sponge\u2019 bone becomes much less dense, so the bones lose strength and are more easily broken.\u201d In the United States, about 14.1 million adults 50 and older (or 13% of the age group) have osteoporosis, according to the CDC.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both osteopenia and osteoporosis can cause broken bones or hip fracture, says Dr. Williams. \u201cThe prognosis for osteopenia is generally good, provided that the condition is diagnosed and treated early. However, the prognosis for osteoporosis is generally poorer, as the bones have already begun to thin and weaken,\u201d Dr. Williams says.<\/span><\/p>\n<h2 id=\"treatment\">How to increase bone density<\/h2>\n<p><span style=\"font-weight: 400;\">Low bone density levels can be treated either with lifestyle changes or with medications depending on the severity. \u201cIf your T-score is under -2, you need to be sure you are doing regular weight-bearing exercise and you are <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-much-vitamin-d-should-i-take\/\"><span style=\"font-weight: 400;\">getting enough vitamin D<\/span><\/a><span style=\"font-weight: 400;\">, with supplements if necessary, and dietary calcium,\u201d says Dr. Johnson. \u201cIf you\u2019re closer to -2.5, your doctor may consider <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/osteoporosis-treatment-and-medications\"><span style=\"font-weight: 400;\">adding medication<\/span><\/a><span style=\"font-weight: 400;\"> to keep your bones healthy.\u201d<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Lifestyle changes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are many things you can do to maintain or improve your bone health, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increasing calcium and vitamin D intake via diet or supplementation if needed to reach recommended daily intake values\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/exercise-and-chronic-disease\/\"><span style=\"font-weight: 400;\">Exercising regularly<\/span><\/a><span style=\"font-weight: 400;\">, including weight-bearing exercises and strength training<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoiding smoking\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Limiting alcohol consumption<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It\u2019s also a good idea to schedule regular checkups and DEXA scans to monitor your bone density.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to Dr. Jaiswal, the following pharmacological treatments may be prescribed based on your fracture risk, BMD, and clinical risk factors:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Bisphosphonates<\/b><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/alendronate-sodium\"><span style=\"font-weight: 400;\">Fosamax (alendronate)<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/risedronate-sodium\"><span style=\"font-weight: 400;\">Actonel (risedronate)<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zoledronic-acid\"><span style=\"font-weight: 400;\">Reclast (zoledronic acid)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/prolia\"><b>Prolia (denosumab)<\/b><\/a><span style=\"font-weight: 400;\">, an injectable medication for bone loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Injectable bone-building drugs<\/b><span style=\"font-weight: 400;\"> for severe osteoporosis such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/forteo\"><span style=\"font-weight: 400;\">Forteo (teriparatide)<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tymlos\"><span style=\"font-weight: 400;\">Tymlos (abaloparatide)<\/span><\/a> <span style=\"font-weight: 400;\">and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/evenity\"><span style=\"font-weight: 400;\">Evenity (romosozumab)<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Your provider may advise you to avoid certain medications that are known to decrease BMD, such as <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/glucocorticoids\"><span style=\"font-weight: 400;\">glucocorticoids<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/heparins\"><span style=\"font-weight: 400;\">heparin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticonvulsants\"><span style=\"font-weight: 400;\">anti-seizure medications<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/aromatase-inhibitors\"><span style=\"font-weight: 400;\">aromatase inhibitors<\/span><\/a><span style=\"font-weight: 400;\">, Dr. Jaiswal says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The bottom line? Getting enough dietary calcium, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vitamin-d-prescription\/\"><span style=\"font-weight: 400;\">vitamin D<\/span><\/a><span style=\"font-weight: 400;\">, and weight-bearing exercise can prevent or control osteoporosis. If medications are needed, there are several options.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is a bone density test? | Causes and risk factors | Bone density test preparation | Prices | Bone density test results | Osteopenia vs. osteoporosis | Treatment Having strong bones is important to your health. They help you move and protect your internal organs from injury. Aging and certain medical conditions can weaken [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":50698,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,17777,8905,11278,8670],"coauthors":[20608],"class_list":["post-50822","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-mens-health","tag-seasonal","tag-singlecare-for-seniors","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What do bone density test results mean?<\/title>\n<meta name=\"description\" content=\"What do your bone density test results mean? 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