Doctor insights on:
Calcium Levels In Osteoporosis
Currently it is better to think of osteoporosis as a condition where the bone is weakened, and can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly ...Read more
Who cares: Does not matter check k mg phos. ...Read more
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
Not known.: No one knows exactly why high calcium levels occur in granuloma-forming disorders such as sarcoidosis. Contributing factors may include dehydration, increased uptake of oral calcium and/or decreased calcium excretion, especially if the kidneys are not 100% functional. ACE activity is also increased, but again no one knows exactly why. ACE is thought to be produced by cells in the granulomas. ...Read more
Yes: Severe Vitamin D deficiency(rarely seen in developed countries) can cause hypocalcemia. 25(OH)- D levels of 4.4 ng/ml (11 mol/L) or lower can cause hypocalcemia. Some of other causes of hypocalcemia include intestinal malabsorption, alcoholism, CKD, diuretics and hypoparathyroidism. Check ionized calcium level to confirm it is low. ...Read more
Speak with your doc: It sounds as if your doctor is doing a diagnostic work up to include your parathyroic gland. If this is the case she may also order tests to visualize the gland as well as your bones. You may have had a recent fracture or problem that she is addressing. Hope you get to the bottom of it soon. ...Read more
HPT: You have hyperparathyroidism. If left untreated, your risks of heart attack, stroke, osteoporosis, and chronic kidney disease are ALL increased. This will compound the effects of your diabetes. It’s very hard/impossible to cure diabetes but hyperparathyroidism can be cured with surgery. I recommend you fix what you can. ...Read moreSee 1 more doctor answer
Could a severe vitamin d deficiency mask primary hyperparathyroidism by lowering serum calcium levels? [would u see low-normal calcium and high pth?]
Masking: Masking of hyperpara with low D is unusual. 40% of hyperpara patients present with vitamin D deficiency. It is important to get all labs checked at the same time (blood draw) to prevent confounding results from tine of day or day to day changes. The labs I check are: total calcium, ionized calcium, 25 OH vitamin D, magnesium, phosphorus, creatinine, chloride, and intact PTH. ...Read moreSee 2 more doctor answers
Do familial hypocalciuric hypercalcemia patients respond to taking vitamin d supplements with an increased calcium, or is the calcium level stable?
No Change....needed?: In fbhh, the problem lies in the parathyroid perception of ca concentration. The ca sensing receptor (casr) doesn't sense the ca level correctly, resulting in PTH being elevated and kidney resorption increasing. While ca-vit d increases abdominal absorption, it doesn't change the underlying error. Additionally, these patients do not get kidney stones/osteoporosis at an increased rate (asympt). ...Read more
What causes low serum phosphate other than parathyroidism? PTH & calcium are constantly normal. Normal D vitamin because of high dose supplements.
Low phos: Phos metabolism is intake /shift/ losses. I am assuming you have good intake. So the other two are the reason, either shift inside the cells or losses from the kidney. How low is the phos? Your medication list shows no meds that can cause losses. A lab doesn't need to be treated, so rpt lab and then get a urine fractional excretion if still low. Talk to your MD. ...Read more
Rarely: Only at markedly elevated levels.Get a more detailed answer ›
Hyperparathyroidism: The parathyroids make a hormone, PTH, which mobilizes calcium from your bones and keeps blood calcium normal. Overactive parathyroids make too much PTH, raising blood Ca, and leeching Ca out of your bones (Osteoporosis) and too much gets into kidney (kidney stones). Kidney disease can cause this, but often it is from an abnormal parathyroid gland that must be removed surgically. ...Read more
Calcium deposit: The saturation point is reached. go to https://www.ncbi.nlm.nih.gov/pubmed/ and search for more details. ...Read more
Low vitamin D level (19), High phosphorus level (4.5), High PTH level (70). What could be the cause of this? Serum Calcium level is normal.
63 yr old female with vit D levels at 14. Osteoporosis since age 45. Told to take 400 iu daily. Dont/Cant take magnesium/calcium. Is this enough?
My 64 years old mom’s bone density reading is -4.0 (osteoporosis level). How much calcium she need to supplement per day?
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