Osteoporosis
bone turnover
markers
endocrine markers
inflammatory
biomarkers
multiomics
combined
biomarker panels
performance
cost
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Osteoporosis is a global health concern with bone frailty and high fracture risk. Existing
diagnostic paradigms largely rely on bone scanning and bone mineral density evaluation which
are hindered by the delayed prediction of fractures, especially in high-risk groups. This review
assesses existing and novel Osteoporosis biomarkers, their mechanisms, clinical efficacy,
drawbacks, and discusses the best biomarkers in Osteoporosis risk stratification and
management, to convert them into better patient care. An online search was conducted,
including PubMed, Web of Science, Embase, and Google Scholar up to June 2026. Passed
studies were reviewed critically and organized biomarkers into five different panels: traditional
and bone turnover
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