Vitamin D and the Parathyroid Glands

[@TheresaGraf]

My doctors have been giving me Vitamin D2 for YEARS. I have high calcium and high PTH and I have no idea how long. I decided to switch from their D2 50,000 IU a week to a D3/K2 supplement. My D levels got to 102, which I hear is not bad since we know how much it helps us fight off Covid. My endocrinologist tried to tell me I have secondary hyperparathyroidism. I think he has out of date information, because he also thinks high urine calcium must be present, which we know now that it doesn't have to be. He also thinks sestamibi scans are accurate and we know that they will often only locate one gland, or even none of the glands, when in fact, there are tumors. The GOLD standard remains high PTH and high calcium levels. I think I've suffered from this issue for years! My calcium levels are all over the place, from high nines to high 10's. It should be malpractice to be treated as I have in 2023. I'm so sick. I have nausea, vomiting, something like IBS. I have bone pain, brain fog, I can't sleep and I'm turning into an irritable unhappy woman. I also developed diastolic heart failure within the last two years and have to take diuretics, which are failing in efficiency. My GFR has been steadily decreasing. I need HELP! This endocrinologist I'm seeing is not helping me at all and tried to drag out tests for four more months!

[@bhatakthirooh]

You have to look for a knowledgeable physician and endocrinologist. Finding a needle in a haystack is 1000 times easier than finding an MD with strong knowledge, ability to diagnose correctly and treat the patient with the correct medications. THey are glorified pill prescriptionist and most of these pills only increase our vulnerability to more diseases!

[@Molly797wo]

you need to take vitamin k2

[@gramsyogistrong2473]

I went after menopause 15 years waiting for a specialist to catch this. Thankful for Physicians telling the truth. But when your Vit. D is deficient we fall into being treated incorrectly. So now 15 years later, I’m scheduled for parathyroid surgery. Please seek out a doctor that listen.

[@moons4768]

I had kidney transplant 5 months ago now I have high calcium and high PTH. Last time I saw my renal doctor he started me on VitD. Now I have a pain in my lower neck where PT are located. Shall I just stop taking Vit D and tell my doctor when I next see him. I have all other usual symptoms like bone pain, dizziness and thirst.

[@TheresaGraf]

@@moons4768 Definitely talk to your doctor, especially since you've had a kidney transplant.

[@beverlywoodworth9164]

Thank you for this video. It gave me great confidence when talking to my doctor and new test will be ordered. God bless.

[@nancylindsay4255]

Excellent information and so well presented, Dr. Forwith! I wish all primary care practitioners and all endocrinologists would absorb this information!

[@colleenwalsh6899]

Dr. Forwith, your videos are excellent. I have primary hyperparathyroidism and you have cleared up all my questions. My own doctor told me to start taking vit D again even though I haven't had the parathyroidectomy yet. I was so puzzled by that, but you explained it so well. I quit taking it until after the surgery. Thank you so much. God bless you.

[@redtailpilot]

Yep! Same thing my primary doctor did! During my research, I stumbled upon a video interview with Dr. Deva Boone from Scottsdale, AZ. She opened my eyes on the Vit-D and I stopped taking it as well. She and Dr. Forwith are a great resource for information about our condition! Thank God for them and for our ability to do our own research from our computers, via KZbin and the internet. Best wishes on your surgery. Mine is in a few weeks and I'm much more confident having done my own research 🙂

[@nancylindsay4255]

@@redtailpilot Most primary care doctors and many endocrinologists know far, far too little about hyperparathyroidism, so we rely on these great resources on line. Congratulations on finding your way, and I hope you're doing well now!

[@redtailpilot]

@@nancylindsay4255 So true and yes I'm doing well, Thanks. Surgery was a success and I'm feeling so much better! My vocal cords were stretched during removal of the large tumor, so my voice is taking longer to normalize, but it's improving over time. BTW, I found out through my research (and several doctors confirmed my findings), that my tumor was more than likely caused by radiation treatment that I was given 30 years ago! This was after I had surgery to remove a keloid scar on my neck (caused by a prior surgery)! Right side (same side the tumor was found on). Radiation is a known factor in Parathyroid adenomas (not particularly Thyroid, but Parathyroid). I found several medical articles that explains it and the key takeaway is... there's a 30 year latency period, between radiation exposure to the head or neck and the.."DISCOVERY" of Parathyroid tumors! Crazy! Several plastic surgeons said that radiation should never be used in the treatment of cosmetic scars! Wish I'd known that 30 years ago. Fortunately there's no indication of cancer, so I'll count my blessings 🙏🏾

[@demraorrobertjordan8346]

Excellent job. Had high calcium, high PTH with low Vit. D. HAD A TUMOR ON LEFT INFERIOR Parathyroid. Had surgery to ext. Parathyroid tumor. Also had kidney stones...stay hydrated!!!!!

[@jeaninerumble6503]

Your presentation is very helpful. Thank you!

[@sadiqshah700]

Will MK7 get rid of excess calcium by transporting it to bones from blood…just wondering

[@lukeo5454]

I have quit taking my vitamin d supplement since viewing this. My pth has been 200s twice and 168 once in last 3 months of testing, with vitamin d levels being 10, 11,and 12 at last test. And calcium has been at just above high or at upper limit. I'm still waiting to see endo. Thank you for this video it is very helpful.

[@entallergydoc1]

While I can't give you specific advice in this forum, I can tell you with those numbers that you may want to consider bypassing the endo and looking for a high volume parathyroid surgeon!

[@lukeo5454]

@@entallergydoc1 I really appreciate the reply, I see endo. On Aug 10th and if they don't schedule surgery, I will go that route. What makes me nervous is having that vitamin d level in tank with the 19 looming out there. From what I've seen contracting C19 with low level vit d is not great?

[@alineramirez9262]

Very clear explanation. Now I have better understanding of what is going on with me.

[@entallergydoc1]

Glad it helped!

[@Morris774]

My PTH is extremely high my Vitamin D was super low at one point my magnesium and calcium was so low they gave me IV. I have one kidney it’s on a nephrostomy and now my creatinine is going up. Which has been stable for over ten years. My bones ache, I itch, I get brain fog, excessive sweating and severe fatigue, im at wits end with this.

[@rosheenerangey3604]

Thank you for this information. I have been taking 50k IU of vitamin D once per week for several years for a vitamin D deficiency. My recent blood work showed Calcium of 10.6 (calcium numbers for the last 5 years have steadily increased), vitamin D of 28, and PTH of 66. I am a 55 year old woman and wondering what your opinion is? I really find your videos so helpful! Thank you.

[@entallergydoc1]

I would stop the vitamin D and find a high-volume parathyroid surgeon. Those numbers are highly suggestive of a Parathyroid adenoma

[@rosheenerangey3604]

@@entallergydoc1, thank you so much!

[@victoriaputureanu7783]

Thanks a lot for this information. It's exactly what l was looking for. Thank you again, and God bless you Doc.

[@Kumars.Rouzbehi]

Really great explanations. Thank you so much!

[@802sti]

Im haveing a lot of symptoms, my x rays show possible hyperparathyroidism, but my calcium is normal in my most recent blood test, could it be secondary instead of primary? And then what role does the vitamin D play?

[@t4bz]

Why do so many endos give patients with high PTH and Calcium a Vitamin D supplement? This is what I'm dealing with currently. Currently working with a surgeon so I can fire her.

[@tracysmith245]

god knows they made my calcium go up when it was not their anymore after 40 years old operation do not trust them now took out my parathroyids

[@Vickie-d4f]

I am going thru that he gave me vit d now I am having kidney problems and hurting bad. Told me to stop taking the calcium lower drug. Have you took it? I’m suppose to do more blood test in a week

[@t4bz]

@@Vickie-d4f I went to a parathyroid surgeon for a second opinion. One look at my blood tests and he scheduled me for surgery. He removed a parathyroid tumor a month later.

[@jesuslovesyou919]

ThankU 4 being a great teacher

[@nesone6520]

Hi there, I'm a 48 year old male. Recent test results were: PTH Intact 54pg, Calcium 10.4mg. The week prior to that my calcium was 10.6mg and Vitamin D 42ng. 1 year ago my Vitamin D was 47ng. I have been taking a 3000 UI of Vitamin D3 for the past 2 years, and bumped up to 4000 UI plus Vitamin K2 100 mcg about 2 months ago. My Vitamin D was under 26ng prior to that as far back as 2019 (21ng). The lowest Vitamin D was 13ng in 2021, along with my Calcium at 10.5 on that same blood draw. Have an appointment to see an endocrinologist in July. Should I insist on an ultrasound/xray for parathyroid tumors? Oh, and I have had some symptoms, hypertension stage 1, chest pains with an ER visit; heart looked good in an xray, fatigue for as long as I can remember, acid reflux while sleeping. Thanks in advance.

[@heatherbarney5628]

Did you make a video after this one? I cannot find it.

[@ym9230]

My PTH is high, calcium is normal so my endocrinologist has put me on 50,000 vitamin D 1x a week for 8 weeks! Now I'm confused.... help.

[@juliewallace515]

Same please explain

[@florencehendrick4781]

Same here.....can anyone share!!!

[@kerfreedom6486]

My PTH protein is low (8 pg/ml), vitamin D low at 26, calcium 9.0. Where do I go from here? Can this be just a random result? Or does this mean I have hypoparathyroidism?

[@colintyler1405]

I have just been diagnosed with hyperparathyroidism. My calcium is up and Vit D is 48. I am suffering with grievous fatigue, massive brain-fog, insomnia and more. I am waiting to see a specialist. Is there any help to be had meantime?

[@HablaConOwens]

Same here. Except i have anxiety too. Ive been this way for 3 months. Only thing i found helps me is exercise for 3 hours every day. Xanax helped me sleep but i stopped as soon as ingot my sleep back.

[@colintyler1405]

@@HablaConOwens After a later visit to the doctor, it turned out that I didn't have hyperparathyroidism after all, but he didn't know what was wrong. My present regime is 35 mins walk at around 7.15 am., two minute cold shower, nose breathing all day, 100 fl. oz of water per day with a few grains of Himalayan pink salt, and calling upon the Lord. For sleep, the thing that helps me most is 900 mg of Valerian root and a peppermint tea before bed. Valerian is a herb with no side effects. A good brand in the UK is called 'Sleepnite' by Vitabiotics. My sleep seems to be much improving but the fog is still making me helpless. I hope some of this may help.

[@gailburnett9780]

@@colintyler1405 maybe get a second opinion. if blood calcium is over 10 you may still have it even if other numbers are ok. Speaking from experience and a lot of Doctors misdiagnosing me.

[@coreybrandies7088]

Hi, at 2:39, you state vitamin D releases the Ca from the bones, but the text on the screen state, "PTH causes release," can you please clarify which is correct? Thank you.

[@ALTheFreeMan]

I have normal calcium levels, however, I have low Vitamin D and my PTH has been slowing decreasing over the past two years. Started at 65, and is currently sitting at 30. I seem to have many of the symptoms of a parathyroid issue (fatigue, brain fog, constipation) but my PTH numbers aren’t high, they’re steadily declining, any info would be greatly appreciated!

[@bumbles3304]

Fabulous video thank you.

[@entallergydoc1]

Glad you enjoyed it!

[@ramonaadams4442]

Very informative. I liked it.

[@viennam6373]

Dr Chris MasterJohn was the first one to mention that one should tailor D3 dosage based on their PTH levels. You keep increasing dosage until your PTH drops to low normal, then you maintain that. Of course along with D3 cofactors.

[@audither]

Open the last few years I have had low vitamin D3, hi PHT, and high blood calcium for the past nine months. My endocrine doctor wants me to get a phosphorus blood test, but I can see where this is all heading so my question is should I stop taking vitamin D three altogether?. I now have osteoporosis which came about pretty quickly.

[@davidhorne2326]

I have high calcium (10.5) and osteoporosis recently diagnosed. The pth level has not been tested, but may ent has me on vitamin D supplements. We need to have a talk!

[@colleenwalsh6899]

Excellent presentation but now I am wondering why my doctor didn't check my vitamin D level. My calcium was 10.8, five days later it was 11.2 so she checked the PTH and it was 135. I feel really sick and couldn't get an appt with the endocrinology surgeon for 5 weeks. Hmmmm.

[@nancylindsay4255]

Hang in there, dear heart! Many people wait for five months or longer. Most primary care physicians know little about parathyroid issues -- not even to check PTH, calcium, and vitamin D in the same blood draw. It's great that you've already been referred to an endo surgeon. Make sure that she/he is very experienced in parathyroid issues and surgery. Best wishes to you!

[@EMKABMART]

If you think you have a parathyroid tumor don't give blood it confuses doctors, and you can't explain it to them. You have approximately 10 pints of blood and if you take one out it drops vitamins in the blood by about 10%. It will reduce the calcium in the blood along with Vitamin D. With a lower amount of vitamin D your calcium will have a slow start to climbing back up, but it will. You can't explain the process to doctors either. also, if you give blood your kidneys won't have much calcium to filter out into the urine and that confuses them as well. *Keith will tell you that without vitamin D you can't absorb calcium. High calcium hinders Iron absorption. Just some food for thought.

[@nickorobinson5328]

Thank you so much for sharing 🙏💪🙏💪

[@EMKABMART]

@@nickorobinson5328 the first thing that happens after blood donation is that pint of blood is replaced with water diluting the blood. You know it lowers vitamin levels because they limit how many times you can donate to no more than every 56 days. You should watch iron if you are donating a lot.

[@IreneRolon]

I have been recently diagnosed with this and it's critically low I had infusion and taking meds what are home remedies if any

[@nancylindsay4255]

Your statement is very vague. If you are referring to hyperparathyroidism, there are no home remedies. You should be seeing an endocrinologist who is VERY familiar with parathyroid issues (many are not).

[@orallaamf3498]

Thank you very much i have FHH - Familial Hypocalciuric Hypercalcemia and your video halp me alots no more Vitamin D

[@merriemerrie7378]

Can you please comment on reasons why one might have an elevated PTH, say 95, and NORMAL calcium, say 9.4?

[@nancylindsay4255]

One can have hyperparathyroidism with calcium in the normal range; this is called normocalcemic hyperparathyroidism. This may not be widely recognized, so be sure you are seeing an endocrinologist who is very familiar with parathyroid issues.

[@bhatakthirooh]

Hi Dr Forwith, I am 54y. Since the last 5 years my serum Ca level has been increasing steadily from 10 to 10.5. My Vit D is 54 (within normal range) and PTH, intact is 32 pg/ml (within normal range). Since the last 6 months I have been having pain in fingers, thumb-wrist junction, hips, ankle and severe headache and neck-shoulder pain and stiffness. Are these related to the high Ca level?

[@nancylindsay4255]

It sounds like your primary care provided does not know enough to recognize a parathyroid problem. You should see an endocrinologist who is very familiar with parathyroid issues (not all are). Better still -- see an endocrinology SURGEON who is very experienced with parathyroid issues and surgery. They understand that their "regular" endo colleagues are often lacking in this area.

[@bhatakthirooh]

@@nancylindsay4255 yes..My PCP never mentioned it. Few months back I asked her to test but she said it is not necessary and so it was not included in my blood test.

[@Arthur-S]

Hi Dr. Keith Forwith, I had surgery to remove 1 out of the 4 parathyroid and PTH and calcium are back to normal levels. I'm currently taking 3,000ui of Vitamin D every day, is that ok, or could I cause any trouble to the remaining 3 glands in the future? Also, what is the recommendation to patients like me for the years to come? Thank you for sharing your expertise with us.

[@entallergydoc1]

Sounds like you are on the right track. Taking Vit D after the bad parathyroid has been removed is usually a really good idea for rebuilding lost bone density.

[@gringoloco543]

I agree. Maybe. A doctor once told me the opposite. Calcium at 11.0, PTH at 52. Adding vitamin D will keep the blood level of calcium from getting too high. On the other hand, restricting vitamin D could result in eventual bone decalcification.

[@entallergydoc1]

Vitamin D enhances loss of calcium from the bones. The doctor you speak of was dead wrong. When calcium is high, more vitamin D will make bone loss worse.

[@gringoloco543]

@@entallergydoc1 thanks. Would she be a candidate for the radio ablation procedure? Calcium has been 10.8 to 11.1 for several years. How high is a problem? She had a thyroid ablation as a child. Taking levothyroxine. She had RA and Lupus in the past. Now we've learned about nutrition, and she has no symptoms and takes no meds.

[@poppyspets9579]

@@entallergydoc1 I'm in the UK my Vit d was 26 nmol got give Vit supplement, it was then 33nmol.I .Nobody checked PTH or calcium. I asked for it in the end, my PTH was 18 and my calcium 2.76mmol/L, I've carried on with Vit D, nobody said stop. I've got scans now.

[@kushagrasingh7731]

@@gringoloco543 what kind of nutrition corrections did you do.. my wife has a similar condition.

[@gringoloco543]

@@kushagrasingh7731 High protein diet along with strength training. Considering BHRT. Trying to get calcium and phosphorus from food sources.

[@aurragus2012]

Just watched this great vid. I had total thyroidectomy 10 yrs ago and, aside from my Euthyrox 75mcg daily, my doctor had me on vit.D Rocaltrol and caltrate plus daily. And aside from regular labs on TSH, do i need to do labs for PTH?

[@entallergydoc1]

Certainly if you have symptoms, a new kidney stone, high calciums or bone loss (osteopenia or osteoporosis)

[@eagleeye9549]

My PTH intact is 131.0, and my calcium PTH is 9.2, and Vit D is 28. Is that normal? Thanks, sir. I'm concerned because I just started Trulicity....

[@rakeshagarwal2353]

Hello sir I'm 19 years old... My calcium level is 10.19 and my vitamin D hydroxide 25 blood test show 40.68ng/ml ....and tsh test is normal.... I have been having crepitus all over my body since 1 moth wha could be the cause

[@carmella88]

My daughter is in a very similar position as you. Shes only 17 and im freaking out

[@Umamahamed2014]

My 8 year old son was born with only 3 glands he don’t have calcium and he gets seizure when his calcium goes down it’s very scary and I have no too much knowledge of it because of that language. Barrier 😭😭😭😭

[@phwshopping1426]

omg I’m so sorry I do hope you are finding answers for you son!

[@gabbott432]

Very Interesting. My PTH is high (96), my D is high normal (60), my Calcium is Normal BUT is Low after you calculate Calcium/Albumin ratio. Urine shows high output of Calcium.. Any ideas..?

[@entallergydoc1]

It is very unusual to have a vit D of 60 without supplements, even though that is in the normal range. It may be that your high Vit D and PTH are needed to maintain normal calcium. This is seen in folks with kidney issues and very frequently in patients who have either GI issues or have had gastric bypass surgery. Finally, there are people with a parathyroid adenoma but normal calciums - I’ve seen this countless times. I would highly suggest you see a high volume parathyroid surgeon. Ask the office when you book an appoint if he/she manages “normocalcemic primary hyperparathyroidism.” If they are confused by that term, keep looking for your expert!

[@sallydacre438]

I have too much calcium in my blood and awaiting tests. However, my endocrinologist has told me to take vitamin D . I'm now concerned that this is not the correct advice! What should I do?

[@kelliedougherty4041]

I have 270 PTH borderline high calcium, osteoporosis and stage 3 kidney disease. On calcium & vitamin D3. What do I do?

[@entallergydoc1]

While I can’t give specific medical advice… I would rewatch the video - especially the parts about stopping your vit D, stopping the calcium supplements and seeing a high volume parathyroid surgeon!

[@annemoran6792]

Wow. Invaluable information. Learned more in this video than from a year seeing an Endocrinologist (which is only two visits, due to the wait between appointments). Just had another CMP. Calcium was lower than it has been in two years, for some reason, at 10.2. PTH was 64 (was 88 in 11/2022). Per LabCorp, it's a "normal" result and so was not flagged. Problem is, I have been on taking Vitamin D, Calcium, Magnesium, and MK-7 supplements, as I have had Secondary Osteoporosis since 32 years old. Now I am in the severe category of Osteoporosis, having fractured my sacrum in 2020, while sitting on a hardwood floor for an extended period of time. The assumption that has always been made (and which I had ignorantly accepted) was that the Secondary Osteoporosis is the result of having had Anorexia and Bulimia (which does seem like a logical assumption). Looking back at past bloodwork, though, it appears I've had a hyperparathyroid condition since 2006. When I questioned the results, reiterating the vitamins, minerals, and doses I am supplementing with, and which are already on my medication list, my doctor advised that stopping supplements prior to lab work is "not advisable", as it would not be accurately portraying the levels typically present in my blood and urine. Furthermore, she advised that the test results (Ca 10.2, PTH 64, at 53 years old) is "within the normal range", and so is refusing a retest. She explained that because the results are "within acceptable guidelines", my insurance may very well deny it (their office does NOT want to get involved with any insurance issues), and furthermore, since it's now "acceptable", it is unnecessary. I cannot even express how upset I am about all of this. I'm at the end of my rope, and am going to look elsewhere for a specialist. The state of our healthcare system in America is frightening. The more a person uses it, the easier it is to see just how broken it is. Thank you for refueling my determination to advocate for myself.

[@heatherprice5900]

😊😊

[@ZacharyTech7]

I have normal pth and calcium yet my vitamin d level is 20 used to be 14. Ct scan showed thyroid is clear i have weight issues even with extreme food counting in grams clean eating etc. Some people say they wonder how i function with a low vitamin d level thst level. Dr prescribed 50,000 iu weekly levels dont go up. I also have high functioning Autism.

[@entallergydoc1]

Sounds like your Dr did the right thing with the vit D supplement. I see lots of folks with vit D in the 20’s and they have no symptoms - no idea their vit D is low. Keep up with your supplements and you will likely eventually see normal levels return.

[@RealDatingSchool]

Normal calcium, high pth, pth got in normal range after d3 supplementation while calcium at 9.9 from 9.6. Dexa scan reveals ostopenia and osteoporosis for foerarm scan.what does this mean?

[@entallergydoc1]

Do you have vit D levels to go with these labs?

[@RealDatingSchool]

@@entallergydoc1 yes. When pth was 88, vitamin d was 25. After d3 60k does taken once a week for 1 month, d3 came 43 and pth 45.

[@acva8292]

I have a parathyroid tumor (scan showed suspected adenoma), high calcium (11.9), high PTH (95) and 1.25 dihydroxy Vitamin D @ 79.5pg/ml (increased from a couple years ago)- shouldnt my vit D levels be lower ? Am I a good candidate for surgery?

[@larneyful]

But what about when someone genuinely has a vitamin D deficiency? If I have understood correctly, this would result in a profile of high calcium in urine but low blood calcium, no?

[@entallergydoc1]

Vit D deficiency results in low serum calcium or normal serum calcium. Typically, PTH will rise to get the calcium into the normal range. PTH causes calcium release from the bones and increased resorption from the kidneys - so urine calcium would not be high if the kidneys are working normally!

[@rdavis46]

what if your vitamin D level 127.1 and PTH level 119 are both very high and calcium is at 8.9. I l already have osterposis

[@entallergydoc1]

this is not a parathyroid problem - parathryoid adenomas cause high calcium

[@chrisrinelambert9418]

Thank you

[@opaloakley]

My PTH is elevated at 76 pg/mL (15-65) My Calcium is 9.2 mg/dL (8.7-10.2) My Ionized Calcium is 4.8 mg/dL (4.5-5.6) My Vitamin D, 25-Hydroxy is 8.2 ng/mL (30-100) Does my case seem like it would be caused by a parathyroid adenoma? Or does it seem more like secondary hyperparathyroidism? This is the first time my PTH has come back out of range high, it had been lingering near the very top of normal until my most recent blood draw. I'd really appreciate your opinion.

[@annarold1709]

Do you suffer from osteoporosis? I had similar test results and I suffer from it. But calcium level is normal (1000mg) supplement daily and you need supplement of vitamin D urgently! I’m sure you’re feeling depressed! That’s the cause

[@lauriea999]

My pth is 80 and sustained calcium 11.0 for 2 years i am sched for parathyroid surg in sept i have addisons amd hypothyroid i pretty much much feel terrible all of the time , while my pth is not crazy high im doung anything to get well i hope im making the right decisions , i take 10 k iu everyday could this parathyroid be a false positive? I will discontine my D

[@entallergydoc1]

Sounds like you’re exactly on the right track!

[@Leo7King26]

Hello Doctor My pth level is 80 pg/mL. My vitamin d level is 24 ng/mL and calcitriol level is 26 pg/mL. My calcium level is 9 mg/dL and my ionized calcium is 4.6 mg/dL. My phosphorus is low normal. I have high urinary calcium. Is this primary hyperparathyroidism?

[@entallergydoc1]

No. Primary HPTH would have high calcium, not normal or low normal calcium. The high PTH is maintaining normal calcium to make up for the loss of calcium into the urine. In this case, Vit D supplements are the first step.

[@lucecita007]

Too bad that only the one who can get cut those tumors out it is $15,000 dollars and a first consultation topped to $1,789 dollars and who can afford that kind of surgery? St Dr. James Norman parathyroid Center?

[@haticeiaconangelo3373]

Go see Dr. Jose Lopez at Tampa General hospital. They have a specialty department. Highly qualified. He will be doing my surgery.

[@phwshopping1426]

hi I thought they accept insurances!

[@arymhansie]

Dr Keith, my niece ,25, has the following results in a recent blood test July taken in (she also has pcos and autistic-age ) FT3-3.5 FT4-10.8IUM-2.96 PTH-9.7 TSH=2.4 VITAMIN D-49 CALCIUM-2.87 CORRECTED CALCIUM-2.88 An ultrasound shows an adenoma on the right parathyroid. The endocrinologist said that it needs to be removed. Funnily, I was the one who pointed out the raised calcium levels from the blood tests and asked him to investigate further! It was only after that request that an utra sound was recommended. I am really concerned, he says that he will recommend a very good ENT who is knowledgeable with the parathyroid and who will carry out the procedure. I am in the UK. What do you think, I would REALLY appreciate some words of guidance. The Endo says I need to increase her vitamin D to 4,000 IU's twice a week.

[@entallergydoc1]

I'm sorry I can't offer specific medical advice. A good ENT should be able to help you. Also, remember from my video: the main function of Vitamin D is to raise calcium levels!

[@cschulz9865]

Hi Dr., My Intact PTH is 75. Are there ranges of severity? My Endocrinologist can't see me until August. Does that sound reasonable?

[@entallergydoc1]

Any analysis of PTH has to be matched with the calcium level.

[@Diana-mu9vd]

What about taking something more natural like cod liver oil with D, A etc vs synthetic D?

[@sweetpea1553]

What if you have high PTH, high calcium and normal Vit. D level? I have been taking 10,000iu D daily but suddenly not feeling well and we found the high PTH and high calcium. Would this still be the parathyroid no functioning as it should. Does D3 with K2 really make a difference? Plus started having hives that won't go away.

[@nancylindsay4255]

Did your doctor prescribe that amount of vitamin D for you? You should talk to your doctor about your intake of vitamin D and how you are feeling. And yes, high PTH, high calcium, and normal vitamin D is likely hyperparathyroidism. You should see an endocrinologist who is VERY familiar with parathyroid issues. (Many are not.)

[@shannonbranch5726]

Thank you!!!!!!

[@tracysmith245]

it can I was 2 and went up to 3.8 on lupus meds and vit d at the time im hypo para do not have any it seems I have low calcium.

[@janellealfred24]

I had high calcium in the blood, normal PTH, and Low Vitamin D, and my doctor still prescribed me Vitamin D supplements and keep dismissing my concerns about the high blood calcium levels .

[@angelarobinson2042]

My calcium was high and vitamin D was negative. The endocrinologist still can't seem to get it right. I've had about 8 symptoms for about a year and a half, feeling very sick.

[@KenSilverman1]

you need to have normalish vitamin D or some of hte thyroid tests (possibly calcium) may be abnormally elevated. Getting Vtiamin D normal is the best way to ensure your paratyuroid levels are normal or not (and if not, that it is a parathyroid nodule vs low vitamin D causing ithat abnormal levels).

[@MikoandMimi123]

My pth 140.7,calcium 10,USG scan reveal no adenoma of parathyroid,but I have bone pain.What to do next?

[@entallergydoc1]

You need a parathyroid surgeon!

[@tracysmith245]

thanks good video

[@ramonaelrod9578]

Looking for help for my husband, he has had 2 parathyroid glands removed because of high calcium. That was 3 years ago (2017). Now his calcium is up to 11 and his doctor says he may have to have another gland removed. He is on thyroid medication. Any resources I can research, any advice. I am working on reducing meat protein in his diet. He is 71 years old.

[@entallergydoc1]

This situation is unusual but does happen. He needs to be seen by a very experienced parathyroid surgeon.

[@californiadreamn6170]

My Ca AU is normal but my PTH is high

[@arymhansie]

Dr Keith, what is your opinion on having a genetic test for MEN 1 and FIH if a YOUNG patient has been diagnosed with an adenoma on one of the parathyroid? Should every young patient have a genetic test before removing one of the affected adenoma in the parathyroid?

[@entallergydoc1]

Excellent question! Genetic testing is most important for young patients as parathyroid adenomas are unusual in young er adults. Having said that, I’ve seen some big adenomas in both men and women that were sporadic (no genetic abnormalities)

[@arymhansie]

@@entallergydoc1 Thank you so much for replying! I am going in for a genetic test on the 21 st of this month- I have one adenoma on the parathyroid and both the endocrinologist and the endocrine surgeon say one thing-do they remove one or three and a half of the parathyroids. I am really anxious about this because I do not know the answer to that. I am basically depending on them for the right decision. What would YOU have done if the genetic test is negative or positive?

[@rosemarywhitney4680]

high calcium and low pth with high protein causes

[@andregaribay9175]

Havnt checked pth, BUT WHAT HAPPENS WHEN YOUR CALCIUM AND VITAMIN D are both high??

[@rakeshagarwal2353]

Mine is also same

[@vikkiprevette2934]

Should we take k2 or magnesium ? To keep out of the blood?

[@chazzeethomas]

I'm not a doctor but yes K2 tells your body to put calcium in your bones. BUT, as he explained, that's not addressing the problem of parathyroid. That needs to be fixed.

[@kathystorer8831]

I take both with vit D. Look up Dr. Peter Osborne here on KZbin. He is really easy to understand.

[@susankay497]

Interesting. Most advice is to supplement Vitamin D in Northern countries during the winter (due to so few hours of sunshine) and to ward off Covid-19. Thoughts?

[@entallergydoc1]

Nothing wrong with that as long as your calcium is normal or low.

[@Israel122112]

Hi Dr, I’m a 34 year old male and have had a blood calcium around 10.6 to 10.8 for 5 years. Ionized calcium is a 1.39 mmol and PTH is a 23. Having the weakness and fatigue in arms/legs with the GERD symptoms for years. My doctor said I may just be someone who has ‘slightly elevated’ calcium bc my other blood labs were normal. I wanted to get your thoughts? I think I do have hyperparathyroid.

[@Israel122112]

Oh my Vitamin D is low 30.7, in this case would my high blood calcium be related to my low vitamin D level? That’s what my doctor also said

[@entallergydoc1]

For younger adults Ca can be normal up to 10.7 Your PTH at 23 is perfectly appropriate. Vit D is at the low end of normal. Those numbers are perfectly fine for your gender and age.

[@John34.]

​@Keith Forwith PhD, MD Well, please explain this to me, doc. My Vitamin D level is 20 and My PTH is 9pg/ml. My blood Calcium is 11mg/dl. I am listed as having hypoparathyroidism which I have read is really rare. My lower back, pelvis, and hips have been killing me for months. They ran more labs I'm waiting to hear back from. These will be phosphorus levels and urine calcium, as well as Vitamin D level again and blood calcium again. It's weird because I am a 32 year old 6'3 200 pound fairly healthy guy. Was always an athlete. I do work in Healthcare as a CT tech and I have worked nightshift for the past 5 years. I'm sure that's why my Vitamin d is so low. I'm just confused because stuff I'm looking up says poss malignancy for these weird lab values, but all my blood labs for wbc and lymphocytes are normal. I also had an Abdomen and pelvis scan 3 weeks ago to see if I had kidney stones because I had kidney pain. The Radiologist read everything being normal. No cancerous lesion no bone masses or osteoporosis. My neck has no swelling or trouble swallowing. It's very odd. Forgot to mention all my Thyroid labs were normal.

[@ShepherdschapelYTexplainsbible]

My parathyroid level is 111 and my calcium is good level. My vitamin d is slightly low does just mean things are running okay but my parathyroid is functioning slightly abnormal. Do you think adding more vitamin d would help? What about cutting out all sources of foreign chem calls that could disrupt your system such as herbicide and pesticide?

[@entallergydoc1]

Lab set is incomplete. You need Vit D, calcium and PTH from the same blood draw. PTH of 111 is highly suspect for a parathyroid adenoma.

[@ShepherdschapelYTexplainsbible]

@@entallergydoc1 I did get them from all the same blood draw. You don't think the low calcium could contribute to the high parathyroid level? Do you think it's worth attempting to raise my calcium levels before pursuing the possibility of a tumor at parathyroid levels of 111?

[@entallergydoc1]

@@ShepherdschapelYTexplainsbible you didn’t give me your calcium numbers or VIt D. If you have normal calcium, low vit D, and high PTH you most likely have a secondary hyperparathyroidism from Vit D deficiency.

[@sandan2358]

My PTH is 236 what’s the normal range?

[@gailrose7844]

With a PTH level of 236 is extremely high, what is your calcium level? Usually the calcium level will also be elevated. Which points to hyperparathyroidism. Having one or more of the four nodules in the parathyroid effected. (Tumor) I have had this once before and had one removed and now experiencing this again. I have done many research and found that cruciferous vegetables helps lower the parathyroid gland. Until you can be seen by an endocrinologist and a surgeon to have one or more of them removed. I'm not trying to scare you it really isn't an invasive surgery. I hope this helps you understand

[@bhatakthirooh]

Normal range of PTH is 15 - 65 pg/ml

[@lolayuldasheva718]

My vit d is low and pth is high and I am on vitamin d supplements

[@Scout-bt3mo]

Can you have hyperparathyroidism with a normal calcium level? My blood calcium level is normal, but I've got osteoporosis and calcium oxalate kidney stones. My vitamin D level is a bit low, 28.5. I have lower back pain, some bone pain, joint pain, fatigue, constipation, and heart arrhythmia occasionally and palpitations sometimes. My PTH has not been tested. I've also had head and neck radiation for cancer in my early twenties.

[@entallergydoc1]

You can have normocalcemic hyperparathyroidism. PTH needs to be checked. BTW, this version of hyperPTH is the hardest to diagnose and treat.

[@Scout-bt3mo]

@@entallergydoc1 Thank you so much for your reply. I will be looking for an endocrinologist in my area. As far as it being the hardest to diagnose and treat...that is SO me! I think I'm one huge anomaly!

[@1aliveandwell]

@@entallergydoc1 Dr said all was fine w labs, but seemed a 9.8 with a 52 PTh, wondered if could be towards normocalcemic? (vite D -31, calcitriol 52).

[@1aliveandwell]

Every Dr says take more vite D. Read that taking low amount may get body to reduce calcium. Are you talking 25 OH labs as someone told me his vite D was low but got Dr to do a active form of vite D ( 1,25 OH made from 25 OH? in liver?) and it was high. Are there other reasons for high calcium?

[@entallergydoc1]

Taking more vitamin D will not lower your calcium!

[@karoacordova7411]

I have high pth, low vitamin d and normal calcium. They found multiple nodules in my thyroid and other areas of the neck. I have so much pain. Hoarseness of the voice and had a biopsy. Could it be a tumor?

[@entallergydoc1]

You have normal calcium, so it’s unlikely that you have a parathyroid tumor. Your PTH is high to compensate for the low vitamin D, resulting in a normal calcium. You have what is termed secondary hyperparathyroidism caused my low vitamin D. Supplementing your vitamin D should bring your PTH down while maintaining normal calcium.

[@karthikr684]

there is a thing called normo calcium primary hyperparathyroidism, as much as i know if ur kidney function is normal ur unlikely to have secondary hyperparathyroidism, even i have the same condition , my pth was high and my calcium was normal and low vitamin d , my endo gave me vitamin d , it just increased my calcium and the problems multiplied so think before talking vitamin d

[@himanshusukhija5118]

​@@karthikr684Hi karthik is your issue resolved? Im also having high pth normal calcium with so many symptoms

[@karthikr684]

@@himanshusukhija5118 yes the issue is resolved. There was a route cause which was identified and rectified

[@himanshusukhija5118]

@@karthikr684 can you please help me brother i have the same issue but no doctor is able to identify the cause. I have been to so many endos. What was the root cause of your hyperparathyroidism?

[@anycommonsenseoutthere]

My PTH is slightly high, calcium is within normal limits, and vitamin d is normal. A scan indicated a parathyroid nodule on one gland. Is it recommended to have that gland removed? What causes these nodules? Is there another option other than removal?

[@Iamkrystamarie]

Please help me understanding these results. Mchc 31.0 cbc with differental blood test Pth infact 115.1 & 25 vitamin d 8 Protein mg/dl Value trade Leukocyte 3t My mouth is always dry. Frequent urination, extreme body aches and extreme fatigue, nauseous, vomiting, pre-diabetic & fatty liver disease. I just got blood work results from yesterday. I'm preparing for bariatric surgery. Help me walk into my next appointment knowledgeable please

[@entallergydoc1]

PTH result cannot be appropriately evaluated without a calcium value from the same blood draw

[@Iamkrystamarie]

@@entallergydoc1 thank you my total calcium is 9.1 and my ionized calcium is at 1.20

[@laurieskerchek5881]

My calcium lives in the 10s (early) my pth is rising from 20 to 58 and I am always deficient in D I have kidney stones and also hypothyroid and adrenal insufficiency I always feel sick no one will help me , I take 20k iu a day per endocrine uggg I'm so frustrated!!!and while I realize the pth is not considered abnormal I also know something is not right !

[@entallergydoc1]

PTH at 58 with calcium in the 10's would not be normal for older adults. Calcium is typically in the 9's for 50 and older adults.

[@laurieskerchek5881]

@@entallergydoc1 Thank you for your help and time I am quite sure I need help but the hard part is to find it !🙏🙏🙏

[@TM-ot9wq]

My parathyroid level is 148 and my calcium is good level 102. but my My vitamin d is less than 20 , do you think this high parathyroid happend bcz my vitamin d is low ?? plz response me . thanks alot .

[@radovanvico6908]

I have this as well, normal calcium levels, high pth and low vitamin D 23, i have to see a specialist in september

[@TM-ot9wq]

@@radovanvico6908 God bless you and I wish best for you to be very healthy. Me too I have see specialist in December. Plz after you see your the specialist let me know what he said ? If impossible. Thanks

[@TM-ot9wq]

@@radovanvico6908 now I try raising my V-D before I meet the specialist.

[@radovanvico6908]

@@TM-ot9wq Yes, god bless you too. I have a lot of terrbile symptoms tho, bone pain, joint and muscle pain, cramps, rapid heartrate and in general feeling ill and painful every day. My other blood results are fine.

[@TM-ot9wq]

@@radovanvico6908 I am sure all things will be ok , u just need do 3 things , take it very easy about all ur pain and believe self and say I am ok , do exercise and stay 15 min under sunshine, sleeping 11:30 pm . Healthy eating. I am sure after 1 month u will see 90% u be fine and no more pain .

[@saminazahid5770]

Hi i have underactive thyroid and hypo parathyroid... i have decided to wean myself off thyroid medication, and supplementing what my body needs...i am takin b12 complex, magnesium, zinc,iron, seleium vit A,k,and e however i am worried about my parathyroid how do i wean myself off... should i just concentrate on havin vit D only or take less of cal d and vit d

[@CRABLADY64]

In 2005, I had 3.5 parathyroids surgically removed. Now, that half of parathyroid has become an over achiever and PTH is now 10.5. In the past I had100+ kidney stones (6 lithotripsies). I once again have stones, fatigue, etc.

[@kathystorer8831]

Check out some videos on oxalates. They are a big cause of kidney stones.

[@bettyperez470]

Take extra mg citrate D3/k2-k7

[@jazminsaltos9132]

Hi doctor I have only 3 parathyroid glands because I had a surgery 20 years ago that it been removed one but in the last test of PTH is 92 is this mean I have a tumor?

[@entallergydoc1]

It is highly likely if your calcium is high. Very low calcium levels can also result in high PTH.

[@jazminsaltos9132]

Thank you very much doctor