My blood calcium was a little high at 10.3 and stayed around the same throughout my Tymlos treatment. Forteo is similar I believe in effect on calcium. I was told the effect is short-lived, a few hours.
For a long time I made sure to take my calcium supplements (800mg, not the recommended 1200mg, during Tymlos...and I can't eat dairy) a few hours after Tymlos but oddly, I found side effects were better if I took some an hour before- so who knows! I took 3,000 units Vitamin D3 every day because I read that these meds "eat D3) and my levels stayed exactly the same, so I think my body needed that high of a dose during treatment. The D3 may have helped with calcium levels.
If your blood levels are okay but urine calcium high, were you taking too much calcium that was excreted (the body only absorbs about 400-500 mg at a time), or do you have a kidney issue at all?
Honestly personally I would not worry about this. Just make sure your levels are tested. You are seeing a provider this week which is good. If you do calcium tests, make sure to skip calcium for 24-48 hours before the test (ask your provider for the best time gap). Calcium shortly before the test can raise the levels. But your blood tests were lower than mine as I remember!
Thank you for your response. I get all my calcium from my diet (dairy, nuts, seeds, vegetables and fruits). I take 3,000 ius of vitamin d. The pharmacist at CVS Specialty said you should have both blood and urine test for calcium prior to using Teriparatide. My endocrinologist never tested my urine for 24 hour test. She tested my blood for calcium and calcium ionized both of which are in normal range. I'll see what my aprn has to say about this. I was also thinking of lowering my dietary calcium a bit to maybe 1,000 mg for now. Will have to wait and see. I shouldn't have to see more than one provider about my osteoporosis, but sadly, this is the case.