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drsohaib
drsohaib, Doctor
Category: Endocrinology
Satisfied Customers: 5337
Experience:  MBBS, FCPS Experienced in all Medical Specialities
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I have had blood tests two weeks apart and both results came

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Hi,I have had blood tests two weeks apart and both results came back as having high bone calcium levels so the GP sent me for parathyroid hormone blood tests and those results came back as normal levels.my GP says that's fine but I understood it that the parathyroid hormone levels should be very low if the calcium levels are raised.please could you advise.thank you.

Hello and thank you for the question.
I am Dr. Sohaib, a practicing Internal Medicine Consultant with over 13 years of experience and I will do my best to help you today.
Let me review your question for a minute and I will get back to you.

Honestly the evaluation for hypercalcemia should not stop here.

May I ask did you have any symptoms of high calcium (hypercalcemia) like frequent urination or thirst?

Customer: replied 2 months ago.
i am both drinking more and so passing more urine also i have chronic fatigue and constant pain and aching in most of my joints .

Thank you very much.

The most common cause for high calcium is either with high PTH (parathyroid hormone) levels (primary hyperparathyroidism) OR with normal PTH levels (Familial Hypocalciuric Hypercalcemia).

If the PTH is low, then it means that high calcium levels in blood are not PTH mediated, rather they are caused by other diseases like cancer or vitamin D intoxication.

In your case it appears you have familial Hypocalciuric Hypercalcemia (FHH) but for that urine testing will also be needed.

Also, to rule out other causes vitamin D levels, and if indicated PTHrP levels should be done. PTHrp is a PTH like chemical released from cancer cells and causes high calcium levels.

In the absence of weight loss, and the fact that PTH levels were normal, I don't think your high calcium is related to anything serious like a cancer, rather it appears to be benign in etiology.

Your PCP/GP can do the initial testing (you can discuss with him these details) and if needed he can refer you to an Endocrinologist for further evaluation.

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