If your Z score is much lower than expected (less than -2.0), this should prompt testing for secondary causes of osteoporosis/or bone thinning.
Xa inqaku lakho lika-Z lisezantsi kakhulu kunelo lilindelekileyo (ngaphantsi kwe -2.0), kuye kufuneke ukuba uvavanyelwe izinto zesibini ezingunobangela wesifo sobuthathaka nokuba qoboqobo kwamathambo/okanye ukucutheka kwamathambo.