50–64
A previous osteoporosis-related fracture
At least 2 clinical risk factors
Beyond Your Scan Experience
Beyond Bone Density:Don’t Wait Until You Break
For most people, bone health is invisible until it isn’t. A quick, radiation-free REMS bone scan is followed by clear education, so you know what your results mean and what to do next.
Stronger tomorrow starts
with knowledge today
Your why
Why check your bones?
Bone loss is silent. There is no warning light, and it usually doesn’t hurt, until a fracture.
Bones start to decline after 30
Most people reach peak bone mass by their late 20s or early 30s. From then on, the goal is to protect or build on what you have.
Perimenopause and menopause
Falling estrogen has a profound effect on bone. Bone loss can speed up in the years around menopause, often without any symptoms.
Cancer treatment and medications
Some cancer treatments, long-term prednisone and certain antiseizure medications can all affect bone.
You check your blood pressure and cholesterol. Why not your bones?
A REMS scan is radiation-free and takes just minutes.
The Beyond Your Scan difference
Your scan is just the beginning.
Knowing your results matters. Understanding them empowers you to ask questions, advocate for your health and take your next steps with confidence.
An Experience Built With Intention, so every client feels seen, heard, believed and supported. Medical oversight, a personalized nurse practitioner review and education help you become an informed, active partner in your care.
- Knowyour results
- Understandwhat they mean for you
- Actwith confidenceAsk questions · Advocate · Take your next steps
- Medical oversight
- Personalized nurse practitioner review
- Education
Youan informed, active partner in your care
Your care pathway
How Beyond Your Scan works
Beyond Your Scan is backed by a team of passionate professionals committed to prevention, patient education, empowerment and changing the legacy of healthcare.
And we believe you are the most important part of this team.Welcome to Beyond Your Scan.
Our approach meets Ontario’s professional regulatory requirements through Nurse Practitioner referrals, CMRITO-registered sonographers and personalized results consultations with a Nurse Practitioner. This integrated model supports eligibility for extended healthcare reimbursement, subject to your individual benefits plan.
- 1
Referral pathway
Book your scan and our Nurse Practitioner will review your intake form, determine eligibility and, where appropriate, provide a requisition for the scan. You can also get a referral from your doctor.
- 2
REMS bone scan
Receive a safe, non-invasive bone scan that measures bone density and quality.
- 3
Prevention & lifestyle consultation
Learn about bone health and lifestyle strategies with a regulated health professional.
- 4
Educational portal
Explore expert videos from Dr. Kristy Prouse, trusted resources and practical lifestyle tools.
- 5
REMS results consultation
Review your results with a Nurse Practitioner and discuss referrals and next steps for your care.
Know the difference
Bone density and bone quality are not the same thing
Bone density matters, but it isn’t the whole story of bone strength. Together, density and quality give a more complete picture of bone health.
How much mineral is present in bone.
Information about structure, strength and fragility.
Which one is stronger?
Material mattersLooks thick and solid. But if the mortar fails and the foundation crumbles, all that mass can be deceiving.
Structure mattersUses far less material, so it is less dense. However, the microarchitecture, the arrangement and connections of bone’s internal scaffolding (the framework), is strong like the Eiffel Tower.
Know your fracture risk with REMS
Density tells you how much mineral is there. Quality tells you how well it’s built. REMS measures both, giving you a Fragility Score and fracture risk from your scan. Standard DXA measures density only. Your results are always read alongside your full health history.
Canadian guidelines
When do Canadian guidelines recommend BMD testing?
Clinical risk factors matter.
Stronger tomorrow starts
with knowledge today
OR
65+
1 clinical risk factor
70+
No risk factors needed
Fracture-risk assessment uses the broader clinical picture, including risk factors, not BMD alone.Source: Osteoporosis Canada clinical practice guideline, 2023.
The opportunity gap
Most people reach peak bone mass by their late twenties or early thirties. Without risk factors, routine baseline testing isn’t recommended until 70. That leaves decades in which habits, hormones, health conditions and medications may be affecting bone, with no baseline and no feedback.
The opportunity gap40 yearswithout a baseline
Peak bone massaround age 30
Baseline testingage 70, no risk factors
Ontario, from April 1, 2026: OHIP generally funds a repeat BMD test only once every 36 months for people considered high risk. Osteoporosis Canada has said these rules are not consistent with its 2023 guideline.
What can place bone health at risk?
- Menopause or low estrogen or testosterone
- Pregnancy
- Low body weight or under-fuelling
- Eating disorders
- Low physical activity
- Low calcium, vitamin D or protein
- Type 1 or type 2 diabetes
- Celiac or inflammatory bowel disease
- Rheumatoid arthritis
- Thyroid, parathyroid, kidney or liver disorders
- Long-term prednisone use
- Some cancer treatments
- Some antiseizure medications
- Smoking and higher alcohol intake
Never stop a prescribed medication because of a scan or a website. Talk with the clinician who prescribed it.
Simple. Safe. Insightful.
What happens during a REMS bone scan?
A comfortable, non-invasive assessment that takes just a few minutes.
80sec
about, for the lumbar spine
40sec
about, for the femur (hip)
Position
You lie comfortably on an exam table. Only the two regions of interest (abdomen and hip) will be exposed, while also ensuring your privacy.
Scan
A Diagnostic Medical Sonographer or Nurse Practitioner uses an ultrasound probe at the lumbar spine and both hips.
Results
Specialized software analyzes the results, and we review them with you.
Your results
What your REMS report shows
Your report places your bone mineral density on a chart for your age, and adds a Fragility Score and a 5-year fracture risk estimate.
- Green zone: T-score above −1
- Yellow zone: T-score between −1 and −2.5 (osteopenia)
- Red zone: T-score of −2.5 or lower (osteoporosis)
These are two sample pages from a full REMS report, with example values for a fictional patient. Your full report has more pages, and we walk through all of it with you in plain language.
Page 2 · Fragility Score
Scroll inside the screen to see both pages.
The whole person
Your bones don’t live in isolation
Bone health is influenced by the whole person. Multiple factors work together for healthier bones at every stage of life.
Biology
Your unique internal blueprint.
Function
How you move through life and stay independent.
Foundations
Daily habits that support stronger bones.
REMS and DXA
Different technologies. Complementary information.
Both provide valuable information. They use different technologies and measure different aspects of bone health.
| Compare | REMSUltrasound-based | DXAX-ray based |
|---|---|---|
| Radiation | No radiation | Uses low-dose ionizing radiation |
| What it measures | Bone mineral density (BMD) and fragility insights | Bone mineral density (BMD) only |
| Follow-up | Can be repeated to track progress | Repeat scans usually limited due to radiation exposure |
| Portability | Portable, suitable for pop-up clinics | Typically a fixed location (large equipment) |
Both can play a role in bone-health assessment.
DXA remains the established clinical reference standard. REMS does not replace clinical judgment or DXA. It is another evidence-informed way to look that can open an earlier, richer conversation about bone strength.
Good news at any age
It’s never too late to build stronger bones.
Bone mineral density and bone quality can both be impacted by your lifestyle choices, even as you age. Choose wisely.
So let’s not wait until we break. Let’s look sooner… and get into action by surrounding yourself with an integrative healthcare team so that you can get into the driver’s seat and become the CEO of your health.
Enough protein
Protein is a building block for bone and the muscle that protects it.
Progressive strength training
Gradually increasing resistance loads your bones so they adapt and get stronger.
Jump and impact training
Short, safe bursts of impact give bone a healthy signal to build. Always done in consultation with your integrative health team to ensure safety.
Balance training
Better balance means fewer falls, and fewer falls means fewer fractures.
Gut health
A healthy gut helps your body absorb the nutrients bone needs.
Hormones and medications
Knowing what your hormones and medications are doing helps you and your team plan.
Look, act, then look again
Because REMS uses no radiation, you can check in on a regular schedule. That makes it easier to put a plan in place with your care team and see how your bones respond over time.
Why this matters in Ontario: since April 2026, OHIP generally funds a repeat DXA only once every 3 years for most people.
- 1LookA radiation-free REMS baseline
- 2ActA plan with your integrative care team
- 3Look againTrack your progress over time
REMS can be especially helpful for people living with:
- Cancer
- Eating disorders
- Type 2 diabetes
- GLP-1 treatment support
- Many other conditions that affect bone
Want to be proactive? Get a comprehensive picture of your bone health, so you can get into action sooner, live with strength and vitality, and help prevent fractures.
Book your scanBody composition
A bigger picture, in the same appointment
Your Beyond Your Scan experience brings together bone health and body composition insights in one convenient, radiation-free appointment.
The integrated body composition module also provides:
- Estimated body fat percentage
- Body mass index (BMI)
- Estimated basal metabolic rate: the energy your body needs at rest
How is body composition assessed?
The module uses ultrasound information collected through your abdomen during the lumbar spine scan, together with your personal measurements, to generate these results.
This is a different method from whole-body DXA body composition testing. The ultrasound-based approach has been evaluated against bioelectrical impedance analysis (BIA), but does not itself perform a bioimpedance test.
All during your REMS scan. No separate device or second scan, and it’s included in your scan fee.
These additional insights give you and your healthcare team more information to support conversations about nutrition, movement and your personal health goals.
At Beyond Your Scan, we help you understand your results and put them into context, because knowing your numbers is just the beginning.
Body composition results are estimates that complement your health history and other clinical assessments. They are not interchangeable with whole-body DXA body composition measurements.
Sample report. Scroll inside the screen to see the whole page.
Become the CEO of your health
A good CEO doesn’t do every job. They ask better questions, gather the right team and make informed decisions. We provide the knowledge, tools and connections. You stay at the centre of your care.
Margaret Wallis-Duffy, RMT, CPCAFounder. 34 years as a Registered Massage Therapist in musculoskeletal and preventative health.
Dr. Kristy Prouse, MD, FRCSC (OB/GYN), DABLMChief Medical Advisor. Obstetrician-gynaecologist and hormonal-health physician.
Fern McCracken, BScTraining Director. Instructional design of practitioner training and patient education. Founder and CEO of eLearnology Inc.
The PHAM networkMore than 100 healthcare professionals across North America in the Preventative Health Awareness Movement.
Knowledge today, stronger tomorrow
Look sooner. Learn more. Build your team.
Book your REMS bone health assessment and step into the driver’s seat of your health.
Book your scan