“…Numerous studies in the general population have shown that FRAX prediction can be improved by adding DXA and/or trabecular bone score [3,14]. Unfortunately, rates of DXA screening remain low among people with HIV [15] and trabecular bone score is rarely available outside of research settings. Both the US and European guidelines recommend obtaining a DXA scan in people with HIV beginning at aged 40–50 years, particularly if at least one risk factor is present (e.g.…”