How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Basu Your Own Question

Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28221
Experience:  MD
23744323
Type Your Medical Question Here...
Dr Basu is online now

I was diagnosed with osteoporosis last year and my doctor(started

Resolved Question:

I was diagnosed with osteoporosis last year and my doctor(started them in April) put me on daily Forsteo injections.
My blood is monitored on a regular basis and it now shows that my calcium levels are above normal (despite the fact that I rarely took the Calvidine medication I was prescribed.I had a gut feeling about this; it also showed thar my vitamin D levels are quite low. I have now been prescribe Vit D tablets.
I cant help feeling that somehow all this isnt adding up. Can you give me your professional advice please?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

Forteo can cause high calcium level as side effect.

Dr Basu :

This is possible even without any calcium supplementation.

Dr Basu :

This is just part of its mechanism of action.

Dr Basu :

Low vitamin D level is not forteo related.

Dr Basu :

And vitamin D deficiency just contributed to your osteoporosis.

Dr Basu :

Now, vitamin D supplementation will push your calcium level even higher.

Dr Basu :

So, forteo should not be used for this reason in your case.

Dr Basu :

It is better to treat vitamin D deficiency first.

Dr Basu :

You can be tried on alendronate which is better in such condition.

Dr Basu :

Best wishes,
It was my pleasure to help you today.
I am Dr Basu experienced in Metabolic Diseases.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Customer:

I have been reading about tumours in the parathoid glands which my symptoms may indicate?

Dr Basu :

you need a PTH level checked as well.

Dr Basu :

and forteo is a parathyroid hormone derivative.

Dr Basu :

So your symptoms are related to Forteo not likely parathyroid tumor.

Dr Basu :

In case of parathroid tumor, low vitamin D will not be present usually.

Customer:

So you do not agree that raised calcium levels usually indicate this condition?

Dr Basu :

correct

Dr Basu :

your calcium level went high while taking forto

Dr Basu :

so, once forteo is discontinued this will be normal.

Dr Basu :

that is not the case with parathyroid tumors.

Dr Basu :

and you also need a seru PTH level checked besides calcium level.

Customer:

thank you very much. I was starting to attribute all my ills to fit into tumour description.

Dr Basu :

not at all.

Dr Basu :

do not worry

Dr Basu :

Best wishes,
It was my pleasure to help you today.
I am Dr Basu experienced in Metabolic Diseases.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28221
Experience: MD
Dr Basu and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions