Doctor insights on:
Low Calcium Diet For Hypercalcemia
Those who do not receive enough calcium over a long period of time can develop calcium deficiency. This condition leads to osteoporosis, loss of the jaw bone (osteonecrosis), hypertension, and other disorders. Persons with lactose intolerance have trouble digesting lactose, the sugar in milk. There are over-the-counter products available that make it easier to digest lactose. You can also buy lactose-free milk at most grocery stores. In rare instances, some people have a true allergy to the protein in milk. Such persons must avoid all dairy products and may need ...Read more
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
Let's talk: If your only finding on chemical profile is a consistently high indirect bilirubin and you feel fine, you almost certainly have gilbert's and this is a non-problem that you should not try to address. If consistently high indirect, dubin-johnson is likely, same advice. If you have high bilirubin from an identified or unidentified illness, get with your physician before you try this diet. ...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
What is the optimal serum ferritin level for hair health? Can heavy periods and/or a vegetarian diet w/inadequate iron intake cause low ferritin level
See below: Ferritin levels are not associated with hair health. Heavy periods and vegetarian diet could lead to iron deficiency, and low serum ferritin. It can be easily addressed by taking oral iron and multivitamins. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
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
Is a combination of calcium carbonate and Vit. D3 contained in the tablet CALCIDAY good for people with low ionized calcium and high PTH?
Low vitamin D - 7
High parathyroid- 133
Recurrent kidney stones
Low normal ionized calcium 4.65
Are kidney stones due to low vitamin D?
No: Hi. Nope, stones NOT due to low vitamin D. You should do an accurate 24-hour urine for creatinine (for validation), calcium, oxalate, citrate, phosphate, and sodium; UA for urine pH. Your total calcium looks a tad high; confirm total calcium and albumin, and ionized calcium. You should see an experienced endocrinologist or nephrologist for a thorough evaluation. Good luck! ...Read more
Low hematocrit: It is possible to develop anemia (low hematocrit) from a diet that is deficient in protein, iron, folic acid or Vit. B-12. Check to see if the diet is supplemented with these. Most of the diets have adequate protein. It is also possible that you could be anemic from menstrual blood loss, which is the most common reason healthy women are anemic. ...Read more
Lactulose: Dietary ammonia comes from metabolism of protein; reducing the total protein in your diet may help, but there is the counter problem of needing protein to actually make things the body needs. The best management for ammonia is to be compliant with lactulose to eliminate it from the gut. ...Read more
Important: If you have high bp.Get a more detailed answer ›
Hyperparathyroidism? MS? No balance, migraines, bone pain, dizzy, lightheaded, high calcium levels, low D levels, chronic fatigue, memory loss, etc.
High calcium: This is probably not MS. The symptoms are not that particular to MS. Calcium levels should be normal in MS. How high is your calcium level? That can lead to several of these symptoms. If this is too high, perhaps treatment and/or referral to an endocrinologist is indicated. ...Read moreSee 1 more doctor answer
Besides hyperparathyroidism, what else could cause elevated serum calcium levels, pth and low vitamin d?
Urinalysis shows calcium oxilate stones. I maintain a low calcium diet but I am still forming them by the dozens. Is there something else i can do?
Calcium renal stones: If you are constantly forming kidney stones (ks), you need to have 24 hour urine collection for calcium, uric acid and phosphate. If you have high levels of calcium (c) in your urine in 24 hours, you may need to be on hctz (hydrochlorothiazide) therapy to reduce your urine c. If you have high levels of parathyroid hormone, you may also have an increased incidence of ks and need treatment. See a urologist for an answer. ...Read moreSee 2 more doctor answers
How do I know if it is osteoarthritis, achondroplasia, osteoporosis, hypocalcemia, hyperthyroidism, or hypercalcemia?
Needs more work-up: Low blood calcium level with elevated PTH (parathyroid hormone) result from a variety of conditions, ranging from simple low calcium or vitamin d intake (rare in us) to poor absorption thereof from intestine caused by malfunction of liver, pancreas, or kidneys. ...Read moreSee 4 more doctor answers
Could meal of burgers and coke cause significant elevated phosphorus and slight low calcium levels 5-6 hours after meal? 3mnts ago both were fine.
No: Stop worrying. Burgers and coke won't ruin your health despite all the talk about "unhealthy eating". The high phosphate might be from mild specimen hemolysis while a slightly low calcium is usually a non-problem. Reference ranges are set so that several percent of healthy folks fall outside in any case. Best wishes. ...Read more
Low calcium: There are many causes for low calcium so you need to talk to the doctor who ordered the lab that showed the low calcium to complete the workup and find out the cause.The most common cause is low parathyroid hormone: either by destruction of the parathyroid glands due to past surgery or failure of the glands to form during fetal development. Sometimes you can get antibodies against the parathyroid. ...Read more
Low calcium: Hi. Has the patient had neck surgery? Is the patient eating? Hypocalcemia (low blood calcium) is closely guarded against by the parathyroid glands. If calcium is low (considering serum albumin), check PTH, 25-hydroxyvitamin D, and kidney function. Get an endocrinologist or nephrologist involved. Good luck to the patient. ...Read more
Low calcium: A low calcium level may cause many problems and if your doctor has ordered the test and found a low calcium she/he should have taken care of the low calcium What other conditions do you have? Let me know and I should be able to help you. Your doctor must have done tests more than just calcium. ...Read more
Depends on context: More information is needed, especially in regards to a correction factor against the serum albumin in hypocalcemia. Ionized calcium is a good measure too, but again, context is necessary. Please see your doctor to help you with clinical context of laboratory values, because the values are not really significant until they are applied to your clinical situation. ...Read moreSee 2 more doctor answers
What's the difference between low ionized calcium and low calcium? Which one is the true measure of hypocalcemia?
Both: If you can measure (rarely done), calculate (complicated formula) or estimate (calcium minus albumin), you will get the ionized calcium. About half of the calcium in the blood is ionized and this is the active form. In real-life, this means that a lot of sick people with low albumin also have low total calcium but needn't worry as the physiologic ionized calcium is what's regulated. ...Read more
Why do I have critically low calcium( 1.3) magnesium ( below assay range ) and and phosphorus ( 0.1) out of no where, and what should I do?
Needs immediate att: needs immediate attention. check with your PCP to make sure everything is ok and immediately repeat the test to be sure test results are ok and it is not lab error. there are several causes that need to be investigated if there is no lab error ...Read more
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Hypocalcemia refers to low measured levels of calcium in the blood. Symptoms of hypocalcemia may include numbness/tinglng of he hands and mouth or cramping. In severe cases, one's ability to think may be impaired. Hypocalcemia may be due to poor diet, vit d deficiency, disorders of the parathryoid ...Read more
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