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Osteopenia is a condition in which bone mineral density is lower than normal. It is considered by many doctors to be a precursor to osteoporosis. However, not every person diagnosed with osteopenia will develop osteoporosis. More specifically, osteopenia is defined as a bone mineral density T-score between â1.0 and â2.5.
The difference between osteopenia and osteoporosis is that in osteopenia the bone loss is not as severe as in osteoporosis.That means someone with osteopenia is more likely to fracture a bone than someone with a normal bone density but is less likely to fracture a bone than someone with osteoporosis. The DXA scan is a widely available and accurate method for diagnosing osteopenia or osteoporosis. 2  Not everyone with osteopenia requires treatment with prescription medications; your doctor can determine if you should be treated based on your bone density and other risk factors.