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Elevated parathyroid hormone (PTH): How is it treated?
Diabetes & Endocrine System | Last Active: Sep 23, 2023 | Replies (150)Comment receiving replies
Neither my PTH nor my serum calcium is elevated. But, my 24 hour urine calcium remains above normal, at 339. My serum calcium has been as high as 10 and I had my first kidney stone this year at the age of 73. I have a long list of hyperparathyroid symptoms. The most distressing are insomnia (4-5 hours sleep nightly), very noticeable hair loss in front and upper sides of scalp, and nausea for 2-3 hours every morning. I am having trouble getting this diagnosed since only my urine calcium is high. I would like to have the focused parathyroidectomy that I know Mayo in Rochester has. I live in Florida & don’t know if the Mayo Clinic here offers it.
Replies to "Neither my PTH nor my serum calcium is elevated. But, my 24 hour urine calcium remains..."
I believe the body secretes PTH around 2 to 4 AM. And, labs are usually not open after around 3 PM. My PTH is always normal. They put more reliance now on serum calcium, ionized calcium and PTH and much less on urine calcium. I don’t know if my urine calcium is higher just because my kidneys work well now and remove most calcium from my blood.
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I read in a older text (c1968) that 24 hour urine calcium tests (to rule in or out calcium metabolism disorders) are preferably collected after a calcium-free diet for 3 days. I’ve been wondering if this is still a current recommendation or not(?).
I have also read the time of day serum tests for parathyroid hormone are performed makes a difference. Late evenings as I recall reading give you the highest level of the day. - Has anyone had experience with this?