“…Restoring a balanced gut microbiota is considered as a therapeutic tool for various diseases, including OP [ 695 , 730 , 731 , 732 , 733 , 734 , 735 , 736 , 737 ]. Recent studies showed that probiotic and prebiotic supplementation increases bone density in healthy individuals, protects against primary and secondary OP [ 687 , 695 , 699 , 734 , 738 , 739 , 740 ] and exerts beneficial effects in many other extra-digestive diseases [ 740 ]. However, despite the established impact of the gut microbiota on host (patho-) physiology, the potential roles of HPI- and medications-induced gut dysbiosis is not mentioned in current guidelines for OP.…”