DEXA body composition and bone density scans in Leichhardt

A precise measure of your fat, lean mass, visceral fat and bone — then interpreted against your history, medications and goals, so you leave with a plan rather than a printout.

From $175 · allow 30 minutes · report and interpretation emailed the same day

Clinician positioning a client on the Hologic Horizon DEXA scanner at Inner West Allied Health, Leichhardt
Scanner
Hologic Horizon DXA
Scan
Whole body, with regional and bone analysis
Duration
About 7 min scan, 30 min appointment
Dose
Less than 4 µSv per scan
Report
Same day, plus debrief with Anton
Referral
Not required. GP and specialist referrals welcome

Measured properly

Bone density, visceral fat, fat mass and lean mass, broken down by arms, legs and trunk, left and right.

Interpreted, not printed

Ranked against your age and sex peer group, and explained in the room.

Same scanner every time

Repeat scans run on the same machine and protocol, so serial comparison is actually valid.

What you get

The scan is the starting point. The value is what we do with it.

Your full picture

Medications, medical history, training experience and constraints are factored in — not just the numbers on the page.

Energy needs, calculated

Resting metabolic rate estimated from your fat-free mass, giving a minimum intake that protects muscle and bone during a calorie deficit.

A clear pathway

What to change, in what order and over what timeframe, with strength and cardio dosing set in our onsite gym.

How your results are interpreted

Scanning is the easy part. DEXA results are nuanced and can mislead when read out of context.

Compared against population data

Fat, lean and visceral fat values are positioned against NHANES reference values by age and sex, so you learn where you sit, not just what you measured.

Muscle mass checked against strength

Lean mass does not always track function. A low muscle mass score is cross-checked with grip dynamometry before any conclusion is drawn about sarcopenia risk.

Change measured, not guessed

Follow-up scans are compared with your baseline region by region, under the same preparation and time of day, so real change is separated from hydration and noise.

Visceral fat in context

Visceral fat is reported alongside what it means for metabolic risk — insulin resistance, fatty liver and cardiovascular risk — and what actually reduces it.

Choose your scan

DEXA scan and consult

$175

30 minutes

  • Whole-body DEXA scan
  • Bone density, visceral fat, fat and lean mass
  • Regional breakdown by limb and trunk
  • Grip strength testing
  • Consult, targets and written report
Book a single scan
Best for tracking change

Baseline and review

$315

2 appointments, 30 minutes each

  • Two scans taken months apart
  • Grip strength testing each visit
  • Review compared against your baseline
  • Targets and written report each time
Book baseline and review

DEXA for two people

$315

60 minutes

  • Two scans in one appointment
  • Grip strength testing for both
  • Individual results and reports
  • For couples and training partners
Book for two

Adding a VO2max test? The combined DEXA and VO2max package is $575 for 90 minutes — book the combined test or see CPET and VO2max testing.

A private health fund rebate may be available under extras cover. The amount depends on your fund, your level of cover and the item billed, so check with your fund before booking. There is no Medicare rebate for DEXA body composition or bone density scans at this clinic. A Medicare rebate is available with an Enhanced Primary Care (EPC) referral for the exercise program recommended from your DEXA scan and consult.

Before you book

What does the scan measure?
Total and regional fat mass, lean mass and bone mineral content, visceral fat around the organs, and the balance between left and right sides. Results are compared with reference ranges for your age and sex, and your resting metabolic rate is estimated from your fat-free mass.
Do I need a referral?
No. Anyone can book a body composition scan directly. If your GP, specialist or dietitian has requested a scan, bring their letter and we’ll include them on the report.
How is the scan done?
You lie still on the scanning table in light clothing while a detector arm passes slowly over you. Two low-dose X-ray beams at different energies pass up through the body from the table; bone, lean tissue and fat absorb them differently, which is how each is measured. The scan takes about 7 minutes; allow 30 minutes for the appointment.
How do I prepare?
Come fasted for 3–4 hours (water is fine), avoid hard exercise and alcohol for 24 hours, empty your bladder before the scan, and wear light clothing with no metal — zips, buttons, underwire or belts. Full instructions are sent with your booking confirmation.
Is it safe?
Each scan delivers less than 4 µSv — below the roughly 8 µSv of natural background radiation you receive in a day, and far less than a chest X-ray (about 60 µSv). Repeat scans through the year are safe. The scan is not performed if you are or may be pregnant.
What do I get afterwards?
A written report emailed the same day, plus a debrief with Anton at the appointment so you leave knowing what the numbers mean and what to change. Anton is available for follow-up as your program progresses.
How often should I rescan?
Allow at least 12 weeks between scans; most people rescan every 3–6 months. That is long enough for real change in fat and lean mass to exceed measurement error. Use the same preparation and time of day each time so the comparison is fair.
Can I do a DEXA scan and a VO2max test on the same day?
Yes. In the combined booking the DEXA scan is performed first, then the VO2max test. Either fasted or fed is fine — just replicate the same preparation for future scans so results stay comparable.

Commonly booked by people who are

  • On a GLP-1 medication and want to protect muscle and bone
  • Over 50 and thinking about bone density or sarcopenia
  • Peri- or post-menopausal and tracking real change
  • Starting a gym program or lifestyle intervention
  • Athletes monitoring training and competition blocks
  • Post-bariatric and monitoring lean mass
  • Managing pre-diabetes, diabetes, PCOS or metabolic syndrome
  • Returning to sport after surgery with a limb muscle deficit

Clinical detail

For referrers, and for anyone who wants the full picture before booking.

What DEXA adds beyond weight, BMI and tape measures

Three-compartment measurement

Separates fat mass, lean soft tissue and bone mineral content, rather than inferring composition from body weight or impedance.

Regional and visceral analysis

Reports arms, legs and trunk separately, left against right, and estimates visceral adipose tissue within the android region.

Bone and soft tissue in one scan

Supports screening for low bone mass and monitoring of bone-loading programs such as ONERO and pharmacotherapy including alendronate, teriparatide and romosozumab.

Scan not performed

  • Pregnancy, or possible pregnancy

Contact us before booking

  • Any imaging with contrast media in the past 14 days
  • Metal implants or devices in the region of interest

Contrast agents and metal can affect measured values. Where either applies, we’ll advise whether to reschedule or how results should be read.

Clinical applications

Where serial DEXA changes decisions.

GLP-1 and SGLT-2 inhibitor therapy

Quantifies how much of the weight lost is fat versus lean tissue and bone, and sets a minimum energy and protein intake from fat-free mass to limit lean mass loss alongside resistance training.

Bone health

Screening for osteopenia and osteoporosis in clients with risk factors, and monitoring response to bone-loading programs and pharmacotherapy. No Medicare rebate applies to BMD scans at this clinic.

RED-S and athletes

Bone loss and lean mass decline support the assessment of Relative Energy Deficiency in Sport. Fat-free mass sets minimum energy availability; combined with CPET it guides prevention and management.

Post-operative and rehabilitation

Limb lean mass is compared side to side before return to sport, and serially through rehabilitation.

Intervention validation

Serial scans validate calorie restriction, ketogenic and intermittent fasting protocols, strength and conditioning programs, bariatric surgery and clinical trials of supplements, drugs and lifestyle interventions.

Osteoporosis risk factors that warrant a BMD scan

Age over 40, family history, early menopause, low testosterone, corticosteroid use, low calcium or vitamin D, coeliac or inflammatory bowel disease, thyroid or parathyroid disease, rheumatoid arthritis, chronic liver or kidney disease, some anti-epileptic, breast and prostate cancer and antidepressant medications, low physical activity, smoking, excess alcohol, and very low or high body weight.

Every reference used is named and cited in the report.

Body composition on GLP-1 therapy

In the STEP 1 trial, DEXA sub-study participants on semaglutide lost 19.3% of total fat mass, 27.4% of regional visceral fat and 9.7% of total lean mass from baseline to week 68. The lean-to-fat mass ratio improved, and more so in those who lost at least 15% of body weight. Across GLP-1 studies, roughly 25–45% of weight lost can be lean mass — comparable to lifestyle intervention and bariatric surgery.

Lean mass loss is an expected part of weight loss and is not harmful in itself unless function declines. That is why lean mass is tracked alongside strength, and why a DEXA baseline before starting therapy makes later scans interpretable.

What’s in your report ▾

Every scan produces a written report and a consultation to work through it. Here is what the report contains.

Your body composition, and where it sits

Total fat mass, lean mass and bone mineral content, body fat percentage, and indices such as fat mass and lean mass relative to height, each positioned against NHANES reference values for your age and sex.

Visceral fat and metabolic risk

Visceral adipose tissue estimated from the scan and set against reference values, with what it means for insulin resistance, fatty liver and cardiovascular risk, and which changes reduce it.

Regional breakdown and asymmetry

Arms, legs and trunk reported separately, with left–right differences in lean mass. Useful after injury or surgery, and for athletes in one-sided sports.

Muscle mass checked against strength

Appendicular lean mass reported alongside grip strength. Where muscle mass and strength disagree, the report says so and explains which should guide the plan.

Energy needs from fat-free mass

Resting metabolic rate estimated from your fat-free mass rather than body weight, used to set a minimum daily intake that protects muscle and bone during a calorie deficit, and a protein target to match.

Where a measured RMR is available, the report uses it and shows the difference from the estimate.

Change since your last scan

On follow-up scans, every region is compared with your baseline, and changes are separated into fat, lean and bone. Changes smaller than the scanner’s measurement error are reported as no meaningful change.

Bone density, where assessed

Whole-body bone mineral content and density with reference comparisons. Where a clinical BMD assessment is indicated, the report states what was and was not measured.

What to change, and when to rescan

A prioritised plan across training, energy and protein intake, with a recommended rescan interval and what to expect to have changed by then.

Stated limits, and every reference named

Hydration, recent food and exercise, and positioning all affect DEXA values; the report notes any factor that may have influenced your result. Every reference used is named and cited.

Reports are individualised, so not every section applies to every scan. A sample report is available to GPs, specialists and coaches on request.

Book your scan

Appointments available this week. Questions first? Anton usually replies the same day.

or call (02) 9518 3400