“…Traditional views suggest that age, weight, hormone levels, dietary habits and exercise are related to bone metabolism [9,30,40]. However, recent studies suggest that intestinal microbiota imbalance, in ammation, iron accumulation and ferroptosis, and inhibition of angiogenesis are also involved in the occurrence and development of osteoporosis [16,34,35,37,38]. Therefore, osteoporosis is not a simple disease with abnormal bone metabolism, but a systemic disease.…”