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Endocrine Reviews 19 (1): 80-100
Copyright © 1998 by The Endocrine Society

Bisphosphonates: Mechanisms of Action

Herbert Fleisch

Department of Pathophysiology, University of Berne, CH-3010 Berne, Switzerland

I. Introduction
II. Chemistry
III. Effects in Vivo
A. Inhibition of calcification
B. Inhibition of bone resorption
C. Effects on bone formation
D. Effects on noncalcified tissues
IV. Mechanisms of Action
A. Calcification
B. Bone resorption
C. Other effects
V. Pharmacokinetics
VI. Animal Toxicology and Human Adverse Events
A. Animal toxicology
B. Human adverse events
VII. Conclusion




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