Hx of kid stones, high protein dt , calcium high in 24 hr urine, serum calc 10.3 at highest .vit d low norm intact pth 41. nodules in wrist w pain. ? asked this before but put tsh instead of pth !

See your doctor: You are at high risk for osteoporosis, and need to have additional testing, starting with nephrology consult. In the meantime, reduce protein intake by eating 50% less meat.

Hypercalcuria: At risk for more kidney stones. Drink lots of water 8 -110 glasses/day, minimize your salt intake & consult a nephrologist. You may require hydrochlorthiazide to reduce your calcium excretion. This would certainly reduce your propensity for stone formation. Pth below 50 is normal. Were your kidney stones ever analysed? Blood uric acid levels should be checked with your complaint of "nodules".

Primary hyperpara: A PTH of 41 with a concurrently high calcium of 10.3 is not normal. Pth and calcium level correlate (inversely) very closely with each other. If ur calcium is high at 10.3, there shouldn't be any PTH around & the level should drop to 5 or 10 but not 41. I would have a frank discussion with ur doctor about possibility of primary hyperparathyroidism (high calcium, kidney stone, high urine calcium).