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Mt. Baker Medical

LONGEVITY TESTING · BELLINGHAM, WA

DEXA scan in Bellingham — body composition and bone density, read in context.

A number on the scale tells you almost nothing about what your body is actually made of. A DEXA scan tells you the rest: how much fat you carry, where you carry it, how much muscle you've built, and how strong your bones are. We refer you to Nomad Fit Lab for the scan — from $59.95 — then sit down and read the results against your full health picture.

What is a DEXA scan?

DEXA stands for dual-energy X-ray absorptiometry. It's the same imaging technology that has been used for decades to check bone density — and the same scan, read a little differently, gives one of the most precise pictures available of what your body is made of.

You lie flat on an open table for a few minutes while a low-dose scanner passes over you. There's nothing to climb into and nothing to hold your breath for. The radiation dose is very low — far less than a standard chest X-ray, and a small fraction of what you'd absorb on a cross-country flight.

What comes back isn't a single number. It's a breakdown: total body fat, lean muscle mass, where fat is distributed, the visceral fat packed around your organs, and bone mineral density region by region. People reach for a DEXA scan when the bathroom scale, a tape measure, and "I think I've lost weight" stop being enough — when they want to see the composition underneath the weight, not just the weight itself. That's the information a DEXA scan is built to give you, and it's information most standard physicals never touch.

What a DEXA scan measures.

A DEXA scan measures two distinct things, and both matter at midlife.

Body composition. The scan separates your weight into fat mass and lean mass, then maps how each is distributed across your arms, legs, and trunk. That distinction matters because two people at the same weight can have very different bodies — and very different health trajectories. A DEXA scan also isolates visceral fat, the metabolically active fat stored around your organs that's linked to cardiovascular and metabolic risk. You can't see visceral fat in the mirror or catch it on a scale, and it doesn't always track with how you look. A scan brings it into view so it can actually be addressed.

Bone density. The same scan measures bone mineral density, the standard tool for assessing osteopenia and osteoporosis risk. This becomes especially relevant in perimenopause and after, when declining estrogen accelerates bone loss — often silently, years before a fracture would reveal it.

Together, those readings give you a baseline you can measure against over time: whether a strength program is actually building muscle, whether a nutrition change is moving visceral fat, whether your bones are holding. Numbers you can track beat a feeling you can't.

Who a DEXA scan is for.

A DEXA scan is useful any time you want to replace guesswork with data. A few patterns we see most often:

Longevity and healthspan. If you think in terms of healthspan — staying strong, mobile, and independent into your later decades — lean muscle mass and visceral fat are two of the numbers worth watching. A DEXA scan turns "I'm trying to stay healthy" into a baseline you can hold yourself to over years.

Perimenopause and menopause. Shifting hormones change body composition and accelerate bone loss, often before anything shows up in standard care. A scan can surface both at once, which is why it pairs naturally with hormone replacement therapy and broader perimenopause care.

Weight management. If you're working on weight management — on your own or with medical support — a scale can't tell you whether you're losing fat or losing muscle. A DEXA scan can, which keeps the work pointed at the right target.

Athletic baselining. Athletes and active people use DEXA scans to track lean mass, find left-right imbalances, and measure whether training is producing the changes they're training for. A baseline now makes every later scan more useful.

How it works at Mt. Baker Medical.

Mt. Baker Medical does not own a DEXA scanner, and we'd rather tell you that plainly than dress it up. What we do is connect you to a good scan and then do the part that's easy to skip: making the results mean something.

The scan. We refer you to Nomad Fit Lab, a mobile DEXA service that comes to you across Bellingham and Whatcom County. The scan takes a few minutes and results come back quickly. You pay Nomad Fit Lab directly — from $59.95 per scan — so the cost is transparent and there's no markup from us.

The interpretation. A DEXA report is a dense stack of numbers, and on its own it's easy to misread. We read it in context — against your goals, your history, your labs, and the rest of your health picture — and turn it into something you can act on. A baseline scan is a starting line; the value compounds when you scan again later and can see what actually changed.

This is cash-pay, concierge care: no insurance billing, no referral runaround, no waiting on a system to approve a number you already want to know. If a DEXA scan is one piece of a larger longevity medicine workup for you, we'll fold it into the bigger picture rather than treating it as a one-off.

DEXA vs. InBody: which, and when.

Patients often ask how a DEXA scan compares to the body-composition scan we run in the office, and the honest answer is that they're different tools for different moments.

InBody (in our office). InBody is a bioelectrical impedance scan — you stand on it, hold the handles, and it estimates body composition in under a minute. It's included in the metabolic workup for our members, it's immediate, and it's excellent for tracking trends visit to visit. Quick, convenient, repeatable.

DEXA (referred to Nomad Fit Lab). A DEXA scan is the more detailed reading. It's generally considered one of the most accurate non-research methods for measuring body fat, regional distribution, visceral fat, and — uniquely — bone density, which InBody does not measure at all.

The way we tend to use them: InBody for frequent, in-office check-ins on the direction you're heading; DEXA when you want a precise, detailed baseline, when bone density is part of the question, or when you want a more exact read on visceral fat. Many patients do both — a DEXA scan to set the baseline, InBody to track between scans. Neither is "better." They answer slightly different questions, and which one fits depends on what you're trying to learn.

What to expect.

A DEXA scan is one of the easier tests you'll do.

Before. There's very little prep. You'll typically be asked to avoid eating a large meal right beforehand and to skip calcium supplements for about 24 hours, since both can affect the reading. Wear comfortable clothing without metal — no zippers, underwire, or buttons in the scan area. If there's any chance you're pregnant, a DEXA scan isn't done, so let the team know.

During. You lie flat on an open table, fully clothed, while the scanner arm passes slowly over you. You don't go inside anything. There's no needle, no dye, and nothing to hold your breath for. It usually takes only a few minutes, and you can breathe and relax normally the whole time.

After. There's no recovery and no downtime — you go straight back to your day. The data comes back quickly, and that's where the work begins on our end: we read it against your goals and the rest of your picture so you leave with a plan, not just a printout.

How often. For most people tracking change, every six to twelve months is plenty — body composition and bone density shift slowly, and scanning too often mostly measures noise. We'll suggest a cadence that fits your goals.

Common questions about DEXA scans.

How much does a DEXA scan cost in Bellingham?

A DEXA scan starts at $59.95 per scan, paid directly to Nomad Fit Lab, the mobile DEXA service we refer to. There's no markup from Mt. Baker Medical and no insurance billing — this is cash-pay care. We focus on interpreting the results in context of your goals and your broader health picture.

What does a DEXA scan measure?

A DEXA scan measures body composition — total body fat, lean muscle mass, how fat is distributed, and the visceral fat around your organs — and bone mineral density, the standard measure for assessing osteopenia and osteoporosis risk. It gives a far more detailed picture than weight or BMI alone.

Is a DEXA scan safe?

A DEXA scan uses a very low dose of radiation — substantially less than a standard chest X-ray and a small fraction of what you'd absorb on a cross-country flight. It's non-invasive: no needles, no dye, nothing to climb into. DEXA scans are not performed during pregnancy, so tell the team if there's any chance you may be pregnant.

How is a DEXA scan different from an InBody scan?

InBody uses bioelectrical impedance and takes under a minute in our office — quick, convenient, and great for tracking trends. A DEXA scan is a more detailed reading and is the only one of the two that measures bone density. Many patients use a DEXA scan to set a baseline and InBody to track between scans.

How often should I get a DEXA scan?

For most people tracking changes in body composition or bone density, every six to twelve months is sufficient, since these shift slowly. We'll recommend a cadence based on your goals and what you're trying to learn.

Ready to know your numbers?

A DEXA scan is most useful when someone reads it with you. Book a free consultation, and we'll figure out whether a scan is worth it for you — and what to do with the numbers if it is.

Mt. Baker Medical · 1200 Harris Ave, Suite 308 · Bellingham, WA 98225 · (360) 498-7529 · https://mtbakermedical.com