How would you manage a patient with discordant TBS adjusted T-score and traditional T-score?

When a TBS-adjusted T-score suggests someone may actually be in the osteoporotic range, but the traditional T-score does not, would you treat the patient based on this additional information? This question is part of our collaboration with ACR Convergence 2025 to Continue the Conversation from the meeting. This question was inspired by the session "Updates in Osteoporosis: Where They 'Fall Short" by Dr. @Dr. First Last and Dr. @Dr. First Last. If you did not attend the meeting, information about Convergence On Demand can be found here.