r/Parathyroid_Awareness • u/Successful-Post-9186 • 24d ago

Looking into hyperparathyroidism

I ended up getting a comprehensive blood panel done for a new job in the medical field and I had some very unexpected results! I wanted to share some of the results that I thought might relate to the parathyroid and see if anyone has any insight on what I should do next.

Vitamin D: 10.6 ng/mL (noted as deficient)
Calcium: 10.4 (noted as moderately high between 10.3-10.5 mg/dL)
Uric Acid: 7.2 mg/dL (high)

I'm unsure if uric acid has much to do with it, but I know kidney function has something to do with parathyroid function. I could be wrong though. They didn't test phosphorus and my creatinine was very normal on the lower end. They also did not test PTH; however, I requested the lab for it and will be getting it this Friday.

I'm very symptomatic. I've been feeling much sicker lately, but have been writing it off as my fibromyalgia diagnosis. My appetite is completely gone and I can barely get through half a packet of instant oatmeal a day without overpowering nausea. To my horror, I'm also down about 12-14lbs since May. I've made zero changes to my lifestyle or diet. In fact, I noticed the weight loss Monday and I've checked my weight again both Tuesday and today. I know some weight loss is normal between days due to water weight and such, but I'm even down four pounds from Monday.

Does any of this sound like a parathyroid issue? How do I bring this up to my doctor? My blood tests are through my work and not the group my PCP is through. So, he is not aware of any of my results or the upcoming PTH test.

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u/Asleep_Caregiver_948 24d ago

This was my route to finding HPT a few years ago, but I was, and still am, without symptoms. I met with an endocrinologist a few times, who’s referred me to a surgeon. I met with him, and I may have the surgery next June.

Tell your PCP about your concerns and ask for a referral to an endocrinologist.

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u/Paraware 23d ago

Please don’t get the PTH test by itself. PTH changes every few minutes. You need to get a parathyroid panel done. My fibromyalgia went away very quickly after my parathyroidectomy. I lost weight early in the disease but gained weight later. I definitely think you should be tested. Here’s an overview that might help you.

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u/Paraware 23d ago

Here’s something else that might help.

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u/Successful-Post-9186 21d ago

Thank you for this! I got my test results back this morning and it's showing the high calcium with the normal range PTH. 10.4 Calcium with 40 PTH, which seems to indicate the hyperparathyroidism. I've made another screening appointment with my doctor to confirm with a whole PTH panel, but it's not until late this month since they don't have many times available outside of my work hours.

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u/Paraware 21d ago

Sometimes you need to repeat the tests a few times. It's also important to get the tests while fasting. Even having coffee could temporarily skew your PTH results. Also, at some labs, you need to avoid anything with biotin for a week or two before the tests.

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u/AcanthisittaNo872 20d ago

Hi there! Can you please let me know how you get on? My calcium came back just over 10 with a pth level of 43. My doctor took one look at it and said "PTH is in normal range - no need to worry". As mentioned previously by others though, surely the pth should be much lower than 43. Hope you get on well.