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The Fracture Risk Assessment Tool (FRAX®) is widely used to estimate the 10-year risk of hip fracture and major osteoporotic fracture (MOF, defined as a hip, humerus, wrist, or clinical vertebral fracture). In 2015, McCloskey and colleagues published an adjustment to FRAX® based on the trabecular bone score (TBS). In 2017, the adjustment was updated to use a different calculation for MOF when TBS was measured by Hologic in people assigned male sex at birth. However, this update occurred only on the website hosting FRAX® adjusted for TBS wit
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