Pituitary hormones directly regulate bone remodeling. FSH stimulates osteoclastogenesis, whereas TSH inhibits osteoclastic bone resorption. ACTH promotes osteoblastic bone formation. GH triggers anabolic signals directly and indirectly through IGF-1. Leptin-mediated SNS activation negatively regulates bone remodeling. The inhibitory peripheral action of adiponectin on bone opposes its centrally mediated action by blocking SNS. OCN, upon binding to the GPRc6A receptor on pancreatic β-cells, can enhance β-cell proliferation and insulin secretion. Insulin binding on osteoblasts can, in turn, promote OCN production. DLK from β-cells counteracts OCN activity by inhibiting the stimulatory effect of insulin. Osteocytes release FGF23, which promotes renal phosphate excretion. Myokines, such as myostatin and irisin, also directly affect bone remodeling. Immune-bone interactions notably occur through various cytokines, such as TNFα, IL-17A, IFNγ, and IRF8. Abbreviations: Follicle stimulating hormone (FSH), thyroid stimulating hormone (TSH), growth hormone (GH), adrenocorticotropic hormone (ACTH), receptor activator of nuclear factor kappa-Β (RANK), sympathetic nervous system (SNS), delta-like protein (DLK), interferon regulatory factor 8 (IRF8), interferon (IFN), tumor necrosis factor (TNF), interleukin (IL), immunoreceptor tyrosine-based activation motif (ITAM), calcineurin (CaN), G protein-coupled receptor class C group 6 member A (GPRC6A), osteocalcin (OCN), fibroblast growth factor (FGF).