It has been demonstrated that the intermittent administration of human para
thyroid hormone (hPTH) is beneficial for restoration of bone mass in osteop
orotic patients. The mechanisms of anabolic effects of hPTH have been deter
mined by ovariectomized rat models and other larger remodeling animals. How
ever, treatment with hPTH may increase the cancellous bone mass at the expe
nse of cortical bone mass and cessation of the treatment results in rapid b
one loss. Efforts have been made to maintain newly formed bone mass after w
ithdrawal of the hPTH treatment. These issues are not well understood. In t
his article, the authors would like to represent previous studies of their
own and others concerning these issues. (C) 1998 Elsevier Science Ireland L
td. All rights reserved.