PTH and primary hyperparathyroidism: However, our data provide an important direction for future research, since an elevated PTH is associated with both bone health deterioration (Sahota et al., 2001; Sahota et al., 2004; Qu et al., 2020) and non-skeletal consequences (Yang et al., 2016; Anderson et al., 2011; Grandi et al., 2011; Wu et al., 2023) even out of context of primary hyperparathyroidism.