
Trabecular Bone Score: What Is It and How Does It Help?
Dr Julian Waung, Consultant Endocrinologist at Welbeck, evaluates and explains Trabecular Bone Score and how it helps patients at risk from fractures.

Alongside his work at Welbeck, Dr Julian Waung is a Consultant in Endocrinology at the Whittington Hospital, London. Dr Waung set up the UK’s largest dedicated Thalassaemia Endocrinology Clinic, managing complex metabolic and endocrine complications in rare blood disorders.
Dr Waung’s primary focus is osteoporosis and metabolic bone disease. He specialises in post-menopausal osteoporosis, fracture prevention, glucocorticoid-induced bone loss, male and secondary osteoporosis, breast cancer treatment-induced bone loss, and metabolic bone conditions.
His practice also places a strong emphasis on thyroid disorders, particularly thyroid issues related to fertility and pregnancy, alongside calcium disorders and hyper- or hypoparathyroidism. In addition, Dr Waung manages sex hormone deficiencies, reproductive endocrinology, and the use of advanced diabetes technology (including insulin pumps and continuous glucose monitoring).
To allow for thorough assessment and personalised care plans, Dr Waung offers extended 50-minute initial consultations.
For further details on Dr Waung’s clinical practice, comprehensive patient information, and full contact details, please visit his personal website. Self-paying patients can also book an initial consultation directly online.
Dr Julian Waung has a searchable library of Diabetes & Endocrinology Podcasts and been published in various journals, of which include:
Quantitative X-Ray Imaging of Mouse Bone by Faxitron. DOI: 10.1007/978-1-4939-8997-3_30
Tyrosine kinase inhibitors in the management of differentiated thyroid cancer, In: Recent advances in endocrinology and diabetes (2017 JP Medical Ltd) Jackie A Gilbert, Julian A Waung, Kate Newbold, Edited by Amir Sam & Saira Hameed
The hypothalamic-pituitary-thyroid axis: anatomy and physiology, In: Neuroendocrine Disorder in Children (2016 Mac Keith Press) Brassill M, Gogakos G, Logan J, Waung J, Williams G Edited by Mehul T Dattani, Peter C. Hindmarsh, Lucinda Carr and Iain C.A.F. Robinson.


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Your first consultation includes a detailed discussion of your symptoms, medical history, and lifestyle factors, followed by a thorough examination. It’s helpful if you can bring the results of any previous investigations with you, as well as a list of your current medications. Come with a comfortably full bladder so you can provide a urine sample if requested.