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Thyroid (Expert Forum)
Parathyroid Concern
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).
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Parathyroid Concern
by Bird127, Jul 15, 2007 12:00AM
I have recently had some thorough testing by an endo. There are some findings that I am concerned about. I have read in detail www.parathyroid.com and feel I do have many symptoms that could be explained.
Calcuim 10.1 mg/dl
PTH 44.9 pg/ml
I was also found to be hypoparathyroid and started synthroid.
FT4 0.7 ng/dl
TSH 4.29
FT3 3.10 pg/ml (I don't know what this number means)
I was also told to take 5000 IU vitamin D per week which goes against what i read about parathyroid.
Is it possible that the high calcium indicates parathyroid problem? Or is it not high enough to warrant concern? It is not clear cut. Is additional testing indicated?
Calcuim 10.1 mg/dl
PTH 44.9 pg/ml
I was also found to be hypoparathyroid and started synthroid.
FT4 0.7 ng/dl
TSH 4.29
FT3 3.10 pg/ml (I don't know what this number means)
I was also told to take 5000 IU vitamin D per week which goes against what i read about parathyroid.
Is it possible that the high calcium indicates parathyroid problem? Or is it not high enough to warrant concern? It is not clear cut. Is additional testing indicated?
Doctor's Answer
by Mark Lupo, M.D., Jul 15, 2007 12:00AM
, Jul 15, 2007 12:00AM
You probably meant hypothyroidism and not hypopara as the reason for starting synthroid....(as the TSH was a little high, so synthroid would seem appropriate for hypothyroidism).
The calcium is normal for most reference ranges, but if this is a little high for the lab you use, would repeat and consider testing ionized Calcium as well. If these are elevated, then the PTH of 44.9 is inappropriately normal (assuming normal is up to 65 for your lab). This would then be hyperparathyroidism --- lots of good ifo on parathyroid.com The vitamin D dose is medium at 5000 -- unless you meant 50,000IU of ergocalciferol which is the prescription strength -- unless there was a low vitamin D, I am not sure why the rec to take more vit D.....
The calcium is normal for most reference ranges, but if this is a little high for the lab you use, would repeat and consider testing ionized Calcium as well. If these are elevated, then the PTH of 44.9 is inappropriately normal (assuming normal is up to 65 for your lab). This would then be hyperparathyroidism --- lots of good ifo on parathyroid.com The vitamin D dose is medium at 5000 -- unless you meant 50,000IU of ergocalciferol which is the prescription strength -- unless there was a low vitamin D, I am not sure why the rec to take more vit D.....
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