“…This may lead to lower calcium levels, which would stimulate PTH release. However, this is a doubtful mechanism for heparin-induced osteopenia, as calcium salts of heparin are as effective in inducing osteoporosis as the corresponding sodium salts [557]. The reasons for the low 1,25(OH) 2 D 3 values with heparin are entirely speculative, but may involve direct inhibition of the 1a-hydroxylase system, with the low 1,25(OH) 2 D 3 levels in turn influencing receptors on the parathyroid gland, which induces PTH stimulation.…”