A member asked:

I have a vitamin d level of 28 and a path of 17 with calcium levels that have been anywhere between 10.1 and 11.5 in the past few years. do i need to see an endocrinologist?

4 doctors weighed in across 3 answers

See your regular doctor who should handle this. Discuss vitamin D supplements and aim for 50-70 ng/ ml. Also address calcium concerns

Answered 10/16/2021

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Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

Vitamin D level of 28, PTH of 17 and Ca has been on the high normal to mild to moderately high. You do not have primary hyperparathyroidism or vitamin D toxicity as the cause of your calcium issue. If Ca level is slowly increasing (10.2 last year & 11.5 now), you need further work up. If Ca level has been fluctuated, nothing is serious. However, endocrinology or renal consult is still recommended.

Answered 10/16/2021

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Your parathyroid hormone level is within normal limits and primary hyperparathyroidism is unlikely as a cause of your elevated serum calcium. Other causes of elevated serum calcium include some malignancies,multiple myeloma,hyperparathyroidism with inappropriate PTH. I do recommend consulting an endocrinologist to evaluate, advise and follow you. Appropriate testing will be done.

Answered 10/16/2021

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