Ionized calcium 4.65, pth 133, calcium 10.3, vitamin d 7, phosphorus 4.9, recurrent kidney stones. thyroid lobe, two parathyroids removed in 2004.

Uncertain: These test results don't add up to a straight forward answer. However, I would be concerned about the possibility of recurrent primary hyperparathyroidism. You should take Vit D to eliminate Vit D deficiency as a cause for high PTH levels. Once this is done, if you still have high PTH with high calcium levels, you have recurrent primary HPTH and will need surgery again.