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A member asked:
Ionized calcium was mildly low at 4.7. does this require work up with a pth or just calcium supplement ?
3 doctors weighed in across 2 answers
Neither. Your borderline level of ionized calcium level should be interpreted in the context of full chemistry results including total calcium, CO2 (bicarbonate), phosphorus, and anion gap.
Answered 12/31/2022
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I agree with Dr. Park. There is no need for work-up if your total calcium is normal and if calcium is really low, vitamin D deficiency is more likely the cause than the low calcium intake.
Answered 12/31/2022
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