r/Parathyroid_Awareness

High Calcium Untreated for Years- Doctor Blaming Cheese?

Okay, so this is just something silly to get off my chest and see if anyone's had similar odd comments, as in April, I finally went to my new PCP to ask about a potential cause for my debilitating chronic pain and fatigue. In the past, I had gone, and I was advised to: read a self-help book, limit my diet even harder (I also have PCOS), amongst other things. One of my last blood tests before moving a few years ago showed high calcium, and that doctor told me (who was 24 at the time) to "just lay off the cheese," which I felt like another comment targeted at my weight.
A lot of things from 2022-2023, while I was finally buckling from worsening cysts and chronic pain + fatigue, were framed as a personal failing to be honest about my lifestyle. When I finally moved out of that city, I was able to get a new doctor who gave me proper support on PCOS other than "try veganism," and I lost 40lbs super easily because of actual treatment (shocker).

I had completely forgotten about the calcium comment for the last few years, and didn't know it was secretly a huge factor in stripping my ability to live life from me. So, back to this April, my doctor suggested running some hormone and autoimmune labs to find something. At this point, I am prepared for them to find nothing and to be left with more shame over my inability to force functioning like I used to. Instead, she sent me a lengthy report back showing I had bad anemia, a borderline severe Vitamin D deficiency (10.7), autoimmune markers, and that pesky elevated calcium. She explained that it looked to her like hyperparathyroidism off the bat and ordered the PTH labs.

PTH came back in the "normal" range, but the notes below said that normal or high PTH + high calcium are indicative of hyperparathyroidism. I do some reading on some reputable sites (like Mayo Clinic and parathyroid.com), and the symptoms lined up creepily well. I didn't even mention the incessant thirst I've had for several years, itchy skin, and what felt like heart palpitations. I had never even heard of hyperparathyroidism before, but it did so much to explain why random bones in my body were hurting and being so tired I couldn't even think anymore. I have felt like I'm in some cognitive decline for years now.
I saw an ENT recently by referral, and he claimed it couldn't be HPT because of the normal PTH levels, but my PCP seems to disagree with him, and we are going ahead with the nuclear scan in July (long ways out, ugh).

I feel so worried it's not Hyperparathyroidism, because I've seen a lot of reports of the surgery alleviating so much pain and discomfort. I am also dealing with... anger? Over the years of previous doctors' dismissive attitude, I convinced myself I was attention-seeking or too "weak" to push through. Has anyone else felt these feelings of intense anxiety between getting tests for the diagnosis, or the anger? I'm not sure if this is an appropriate post, but I think it was shocking how emotional this process has gotten for me. I miss my old life before endocrine issues took over, I miss hiking and being able to function at a baseline.

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u/IzoInk — 1 day ago

Parathyroid adenoma connection to midgut nodule?

Curious if anyone has had similar experience.

When I was 23 I was diagnosed with primary hyperparathyroidism with hypercalcemia. CT imaging revealed parathyroid adenoma and an incidental thyroid nodule. After ultrasound the nodule was given a TI RAD 4 classification. As a result I had a hemi thyroidectomy and had been symptom free.

About two years ago I started struggling with significant bone pain, fatigue and digestive issues with episodes of diarrhea, sweating, nausea, blood in stood. Labs shows normal thyroid hormones and calcium but deficient in b-12 and ferritin, high RDW. My GP decided to ultrasound my thyroid (new TI RAD 2 nodule present) and referred me to gastrointestinal specialist who performed an endoscopy and colonoscopy. The colonoscopy found a firm mass pressing into my colon appearing to be located between the colon and small intestine. He has flagged this as suspicious bc of my history with parathyroid adenoma.

I’m currently scheduled for a CT and have a consult with internal medicine. Would love to hear if you have a similar history and what next steps were taken and what questions you asked your doctors.

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Post Op observation

I am almost 3 weeks post op

I feel significantly better and more connected and aware.

Something that I’ve observed recently is when I have meals with a higher sodium content, the following morning I have minimal headaches and some minor tingling.
My remedy has been to increase water intake, take a Tylenol and 1000mg calcium carbonate.

I had teriyaki for lunch and made steak last night with a Santa Maria season (high salt content).

Last week I had similar reactions so - has anyone experienced this?

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u/bretlc — 1 day ago

32, suspected hyperparathyroidism

32F here. I’ve had kidney stones since last year. My labs over the past couple of years show slightly high calcium, low vitamin D and high parathyroid hormone. I have been referred to an endocrinologist, which I am seeing this week.
I am absolutely freaking out because I know I am very young to have this and there is a strong correlation with genetics with MEN1 and MEN2. There is no family history of this that I am aware of and my parents are ok, in their late 50s/60s.
I am so stressed to the point that I can’t sleep, can’t work properly, I keep googling this obsessively and I cry multiple times a day. I am overwhelmed.

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u/angelinelila — 3 days ago

Can you help me interpreting these medical reports (first time here)

Hello to everyone, first time here (M, 33)

I'm gonna share here my blood analysis and scintigrafy, I'd be glad if someone who is more expert than me (easy, I don't know almost nothing about this) about the topic to give some advice, hints, guide, clearing common misurunderstanding etc

Thank you in advance for your time and effort!

----

Test Result Unit Reference Range
Creatinine 0.84 mg/dL 0.70 – 1.20
Estimated Glomerular Filtration Rate (eGFR) > 90 mL/min/1.73 m²
Total Proteins 7.6 g/dL 6.0 – 8.0
Calcium 9.5 mg/dL 8.4 – 10.2
Phosphorus 3.3 mg/dL 2.5 – 4.5
Total 25-OH Vitamin D 4 ng/mL Increased risk of deficiency: < 12
Increased risk of insufficiency: 12 – 20
Sufficiency: 20 – 50
Increased risk of excess: > 50
Test Result Unit Reference Range
Thyroid-Stimulating Hormone (TSH Ultra-sensitive) 2.100 µIU/mL 0.350 – 4.940
Free Thyroxine (FT4) 0.99 ng/dL 0.70 – 1.48
Parathyroid Hormone (PTH) 106.3 pg/mL 19.3 – 112.5

---

Examination Requested

Parathyroid scintigraphy (including thyroid)

Report

Radionuclide: 99mTc

Radiotracer: Sestamibi

Administered Activity: 541 MBq

The scintigraphic examination was performed in two phases:

20 minutes after administration of the radiopharmaceutical

120 minutes after administration of the radiopharmaceutical

Delayed acquisition was supplemented with SPECT/CT imaging.

Diagnostic Question

Suspicion of a left caudal parathyroid adenoma.

Findings

Planar imaging does not demonstrate areas of delayed tracer washout suggestive of hyperplastic parathyroid glands in the neck or mediastinum.

SPECT/CT imaging demonstrates an oval-shaped formation with heterogeneous density, partially and mildly tracer-avid, located caudally to the inferior pole of the left thyroid lobe (approximately 15 mm in size).

Conclusion

Parathyroid finding of uncertain nature
(possible lymphadenopathy versus parathyroid adenoma).

Further diagnostic evaluation with [18F]-Fluorocholine PET/CT is recommended.

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u/Dat_Freeman — 3 days ago

This can’t be right?!

I have attached some labs of my calcium and parathyroid hormone… I have had consistent calcium labs like this for about 5 years. Ruled out granulomatos disorders and MEN-1. My endo can’t seem to make a connection with my parathyroid or any reason why my calcium is elevated. Also hypercalciurea. Normal or low normal vitamin d labs. Could this still be hyperparathyroidism?? Even though my levels are sometimes below normal range? Any thoughts? Ultra sound negative, havent done a sistemibi scan. Have been watching for 5 years now and don’t know what direction to look.

I have all of the symptoms of hypercalcemia that I have been struggling with for quite some time now.

Any additional labs that you would recommend I look at?

u/Fuzzy-Programmer8699 — 3 days ago

Potential hyperparathyroidism in infant

Hi! Looking for some guidance and help regarding my infant. Her labs show an elevated PTH of 84.21 pg/mL and we are being referred to an endocrinologist which will take over a month to get into.

She was a premie, spent two weeks in the nicu, and is about 8 weeks old and just looking for some answers to some of her health issues.

They are concerned it could potentially be hyperparathyroidism. Curious if anyone has experience with this diagnoses in infants and if this diagnoses is a possibility with her elevated PTH.

Calcium is normal: 9.6 mg/dL

Also, could this cause bone weakness?

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u/randysavageeee — 4 days ago

Strange Labs - Primary Hyperparathyroidism?

Hi everyone, new to the subreddit and still trying to learn as much as I can at the moment.

I had some extensive lab work done last week and saw an integrative medicine doctor recently trying to figure out these 24/7 headache, neuro, and other strange symptoms I've been having for about 5 years now.

I have an EXTREME sensitivity to any low amount of D3 (even at 400 IUs) on top of sensitivity to calcium/dairy products at consistent intake where I have to take an absurd amount of magnesium on top of what I've been supplementing for years daily and k2 to manage these symptoms.

32 y.o male, very active/fit, eat magnesium rich and relatively clean. No history of headaches, anything mental, food intolerances/ vitamin/supplement intolerances etc. Trying to solve a 5 year mystery that's made life difficult, tiring, and put a lot of things on hold.

Labs:

Calcium:

This is the third time I've had calcium be at the absolute high end of normal at 10.2mg/dl ref range 8.7-10.2 mg/dl while my intake is low. I avoid d3 supplements like the plague and consistent or high calcium intake. I used to be able to drink a gallon of milk a week when I was in college working out all the time. Now I can barely do a glass a day for a few weeks. I barely even get the RDA sometimes and just focus purely on magnesium. I've never supplemented calcium

Vitamin D3:

My D3 came out low at 23.5 ng/ml with the reference range being 30-100 ng/ml. I can only tolerate sunlight d3, any supplement form, dairy, and salmon just make me feel awful and make symptoms feels worse where I need crazy amounts of magnesium k2 to just make symptoms go away.

PTH Intact

PTH came out to 19 pg/ml ref range 15-65. Would this be inappropriately normal?

RBC Magnesium (maybe worth mentioning)

RBC magnesium was at 4.2 mg/ml ref range 3.7 to 7.0

This one could be better and I always feel like I can't get enough magnesium no matter how much I take. I'm not sure if the high calcium is causing me to waste magnesium and not absorb it.

Kidneys

Everything normal

Symptoms: (Note: all of these are worse with d3/regular calcium intake)

Fatigue/Dont have much energy/tired all the time

Brain fog, hard to focus/lock in/memory feels bad

Depression/irratability/anxiety- this can definitely feel suddenly lifted after magnesium or k2

Insomnia/cant stay asleep sometimes

Cramping

Headaches 24/7 - worse when I exercise

Headaches that ease up when I drink more water even though i'm not thirsty and urine color is fine and not necessarily dehydrated. All I drink is water - no tea, caffeine, soda, beer, etc.

Appetite isnt what it used to be

Heart palpitations - only after taking d3/increased calcium intake. Strong fast beats that I can actually feel.

Anyone with a similar experience or same symptoms?

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u/Krishp007 — 5 days ago

I need help. After two years I finally saw an Endo that concluded I likely have Normocalcemic Primary Hyperparathyroidism, but….

TL;DR: Has anyone taken FMLA in between diagnostic tests and surgery? I’m having some seriously dark thoughts here.

I had a SPEC-CT and all it showed was inconclusive streaking likely because my neck is so large they could not get through the tissue. I’m not scared of surgery, I’m scared of feeling like I do now for the rest of my existence.

Next I have an Ultrasound and a DEXA scan. I also have a Renal Artery Duplex scan scheduled.

The blood work is showing my kidneys are functioning pretty normal other than a 2071 Creatnine 24 Hour Urine test.

But….I’m starting to freak out here. I AM EXHAUSTED all the time. I’m sleeping up to 16 hours on the weekend and missing tons of work because ….I just can’ function. I fel asleep at a traffic light, at my desk, I fell down the steps at work when my legs just gave out.

I have massive concentration issues. My muscles are so weak I can’t pick my 7 year old up. I feel like every joint is breaking in my body I’m irritable, I’m depressed. My blood pressure is out of control, and I think I’m in the verge of having a mental break.

I’m a very large person at 400lbs so I’ve dealt with aches and pains and tiredness but this is a whole other level. I almost passed out walking across the parking lot at Walmart today.

I’m not in the greatest job position of my life and notched it up to my bad boss and depression, but the last 8 weeks I feel VERY different.

I don’t know if this is related to the high PTH or if I’m just broken.

I feel like if I don’t take some significant time off here I’m either going to lose my job or just quit.

But I’ve never done anything like that in my 26 years of working.

Has anyone taken FMLA or short term disability with symptoms like this related to PHPT?

What do I do if this ain’t PHOT or if they don’t find any nodules or ai can’t have surgery???

My PTH has been:

May 5, 2026
252U/LHigh

Mar 20, 2026
230U/LHigh

Feb 19, 2026
158U/LHigh

Feb 3, 2026
171U/LHigh

Aug 14, 2025
167U/LHigh

Apr 23, 2025
166U/LHigh

Nov 22, 2024
180U/LHigh

Aug 29, 2024
146U/LHigh

Aug 12, 2024
153U/LHigh

Aug 6, 2024
158U/LHigh

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u/aghredd22 — 5 days ago

Confused !

Hello everyone,

I don’t fully understand my results - I would love it if someone who has or is experiencing this disease has any thoughts.

I have no B12 or vitamin D deficiency.

38F

My symptoms:
Fatigue
Constant sickness (flu, colds, sinus infection etc.) I’m a teacher.
Thirst
Dizziness and headaches
Brain fog
Loss of libido
Anxiety
Palpitations

13.4.26 Calcium 10.6

18.4.26 PTH 116 / Calcium 10.4 / Phosphorus 3.0

15.5.26 PTH 95.3 / Calcium 10.10 / Phosphorus 1.96

I go for an ultrasound and further blood tests on Monday with an endocrinologist. The initial high calcium was found during blood work for strep throat.

Many thanks

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u/laulau1607 — 6 days ago

7 days postop

I bought steri strips since the OG one came off today. But what do they even do now that it’s healed? When can I use scar ointment?

u/Gloomy-Towel4759 — 6 days ago

Laxatives for constipation question

For those who had constipation due to the thyroid, we’re y’all taking laxatives and if so how long were y’all on laxatives before the surgery and which ones did yall take?

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u/Efficient_Club_9459 — 7 days ago

Postop Hyperthyroidism

I’m a 41 yr old female, 10 days postop. I went into surgery expecting to have one gland removed and woke up with three and a half gone. My recovery was going great for about a week. Tuesday night I started to feel very irritable and was unable to sleep. On Wednesday afternoon I had some tingling in my feet and around my mouth. I started to feel dizzy and when I got home I called my surgeon to see if I needed to take more calcium. He insisted I got to the ED to get some bloodwork and could get IV calcium if needed. My calcium was perfectly normal but my TSH was undetectable. I’ve been on levothyroxine for years for hypothyroidism and my dose hasn’t changed in at least 10 years. I know that sometimes the thyroid gland can become irritated from being handled, especially in cases where more exploration is needed. I have an appointment with my primary doctor on Monday and I’m not terribly worried but I don’t feel very well.

Has anyone experienced problems with their thyroid after surgery? If so, did they resolve on their own and is there anything you did to help with the symptoms. I’m trying to stay very hydrated but it seems like I just lose the extra water sweating in my sleep and going to the bathroom. I was excited that my recovery was going so well and now I feel a little disappointed

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u/YorkCity818 — 6 days ago

Question about 4D CT Scan

Just got my results back from my 4D CT scan. It seems nothing is indicating an adenoma, however, all my bloodwork is pointing to hyper para. Endo and surgeon have already scheduled me for surgery in June but i guess it’s going to be a discovery surgery now.

u/EMINEMxMMLP2 — 8 days ago

Health Anxiety over likely HPTH

Hi, this is my first post on Reddit, so please bear with me.

I am a 34 y/o F. I am still relatively early in my journey with this illness. I have had around 4 blood tests over the past little over a month, between the ER (caused by a panic attack), my PCP, and my cardiologist. I do not yet have an endocrinologist yet, but will most likely make an appointment for one soon.

We noticed my calcium levels were elevated at 10.3-10.4 at the highest. My adjusted calcium levels with my albumin were 9.6 and 9.8. On Monday I had my most recent blood draw to check my PTH hormone with calcium as well as some thyroid levels, due to them being slightly off last time. Thyroid levels are all in the normal range now, but my PTH hormone was high at 93 and my calcium was 9.7. According to the lab it says that this points towards secondary hyperthyroidism, but considering my labs with calcium in the 10s last month I am quite worried. Even 9.7 is the higher end of normal calcium… so shouldn’t my PTH be lower?

I read that commonly vitamin d is looked at in these situations, and it is true that my vitamin d levels (last checked a month ago) were 26… so low but not deficient. I find it hard to believe a vitamin d level of 26 would cause my PTH to go so high, especially with the high normal calcium level, but I’m also not a doctor.

My next appointment to go over labs with my dr is on Monday. I assume they will put me on vitamin d, but that makes me worry it will only cause my calcium levels to go up again… possibly higher than before. I guess if my vitamin d levels are fixed and I still have high PTH with high or high normal calcium I will know for sure what’s going on and can continue looking for a surgeon etc…

I should mention, I don’t really notice any symptoms of HPTH, but I have struggled with anxiety almost my entire life, so it’s possible that it’s making my anxiety more severe. I also noticed high blood pressure is a possible symptom. I struggle A LOT with severe white coat syndrome… To the point that I am taking 5mg amlodipine just to control spikes due to my anxiety. At home my blood pressure typically is anywhere from 98/60-115/75 when im calm (cuff has been validated with drs office) but at the doctor it can be literally stroke level sometimes depending on how stressed I am.

This also is causing me a lot of anticipatory anxiety about possible surgery. I’d hate for my surgery to be canceled due to my high blood pressure readings before surgery… I know this is ridiculous but I have massive anxiety over my blood pressure that started due to a traumatic ER visit. I’ve also never had surgery so I’m sure I’ll be very scared when or if the time comes even with it being a fairly simple procedure. I’m probably jumping the gun already worrying about this, but it’s definitely been something that’s been occupying my mind lately.

Thank you for any help or advice 🙏

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u/Old-Race7341 — 9 days ago

Getting help

I have been weak, fatigued, urinating more than usual so I saw my primary physician..The following blood tests were elevated :
Calcium
Chloride
Alkaline Phosphatase
BUN/Creatinine Ratio

Because of the high calcium level, my physician ordered ionized calcium and pth labs.

My results were
Ionized calcium 1.34 mmol which is about 5.3 mg
PTH 82 pg

I saw these results in the portal over the weekend and messaged my friend’s husband who is a family practice physician. He said I should ask for a referral to an endocrinologist as it could indicate a problem with parathyroid.

My primary physicians office called this morning and said my ionized calcium and pth were normal. I question whether I could possibly indicate a problem with my parathyroid, and need to be referred to an endocrinologist, and they said no that everything was fine.

So now I put my numbers into the calcium pro app, and it shows highly likely to have hyperthyroidism. So I called to make an appointment with an endocrinologist and they said I can’t be seen unless I have a referral.

Any suggestions on how to go about getting in to see a specialist? Or do these numbers look like not something you might see in hyperparathyroidism?

Thanks

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u/gotellmeagain — 11 days ago

4 days postop feelings

I felt pretty normal yesterday, still not doing much. Today my throat and neck pain is much less but I’ve felt high as a kite all day. I’m taking prescribed Os-Cal twice a day, eating yogurt and drinking milk. Could this still be from low calcium? Follow-up is on June 12.

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u/Gloomy-Towel4759 — 10 days ago

Worried Parathyroid was nicked during Caritid Endarterectomy.

58year old male. Had a stroke 3/4/26 and then right carotid endarterectomy on 3/12 and the left one 4/16. The left side was much worse and recovery was / is slow. I meet with surgeon tomorrow for normal post-op meeting.

The iron and calcium tests are from 5/9. My PCP is worried my parathyroid was impacted.
I have constant fatigue, I sweat through 3-4 t shirts a night, have muscle aches and pains, fluttery heartbeat, strange urination patterns and chest pains. I also have more tingling and numbness than before the stroke.

Unsure if this is right thread but any input would be appreciated. I'm kind of freaked out. Hanks

u/Lumpy_Progress_2418 — 9 days ago

Possible Hyperparathyroidism

Hi! New to this group. 32 y/o female. Years of symptoms.

In 2022- TPO’s were elevated. All other thyroid labs “WNL”. No CBC done.

In 2024- calcium was 10.1, all other labs “WNL”. Thyroid labs “WNL” TPO’s NOT checked.

Fast forward to 2026- Got my labs done a week ago.

Calcium 10.3, TPO’s elevated, ferritin 18 (unrelated I know but worth mentioning bc of my symptoms) All other labs “WNL.” Waiting on my PTH labs, getting those done Monday.

Clearly I have something going on. I’m exhausted, some bone pain here and there, dry, itchy skin on my face, brittle nails, thinning hair, trouble losing weight, moodiness, anxiety, depression, gut issues, lightheadedness, SOB.

My cardio dx me with possible hypothyroidism vs hashimotos vs Graves’ disease and possible POTS/Dysautonomia. Running more tests. But I did research and seems like hyperparathyroidism may be a possible dx. I ordered my own PTH labs and have an endo appt in August. In the meantime, I’m seeing my PCP on Friday and going to ask her for an US of my thyroid. I’m just ready to get some answers.

Any input, tips, anything would help. 😭

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u/No_Method_8909 — 13 days ago