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Abstract Osteoporosis is characterized by decrease in bone mass and is widely recognized as a major health problem as the risk of fracture is greatly increased. The bone is undergoing constant remodeling, with repeated cycles of bone resorption by osteoclasts followed by deposition of new bone by osteoblasts. This process ensures the repairing of microfractures as well as remodels the bony architecture in response to stress. Osteoporosis occurs when bone resorption exceeds bone formation resulting in decreased bone density, degenerated bone microarchitecture and increased risk of fracture. Previous studies indicated that GCs induced-osteoporosis occurs as a result of an immediate and persistent decrease in bone formation and a rapid and transient increase of bone resorption. Teriparatide is a portion of the human parathyroid hormone. It is a recombinant form of the parathyroid hormone. Treatment with teriparatide was chosen for the present study because this substance has been proven to promote bone formation through stimulation of the action and formation of osteoblasts. In animals, the intermittent administration of teriparatide has an anabolic effect on spongy and cortical bone and consequently increases bone strength, whereas continuous administration increases the number of bone resorbing osteoclasts. It has been approved by FDA since 2004. Herbal medication has been and remains commonly used instead of chemical drugs because of its minor side effects. Lepidium sativum (LS) is widely grown in the Middle East where LS is largely recommended by traditional herbal healers for hypertension, diabetes control, renal disease and phytotherapy. The LS seeds are well known in Saudi Arabia and some other Arab countries as a good alternative medication for fracture healing. This property has attracted our interest to study its ability to treat GIO in guinea pigs. Many studies have assessed the influence of L sativum seeds and roots on bone health. However, there is a dearth of information on the impact of Lepidium sativum on bone metabolism. Therefore, we were aiming to compare the effects of lepidium sativum and teriparatide on glucocorticoid-induced osteoporosis in adult male guinea pigs. |