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High im 43. Severe osteo. High Pth 100. High d. Ultrasound showed right thyroid nodule. 24 urine was loaded. And kidney ultrasound previously done showed signs of bi lateral hydronephrosis. However kidney doc said probably from being pregnant 20yrs ago.      My question is is this hyerthyroidism? Or something else? Iam going for a nyc scan of thyroid and one of parathyroid. My docs where reluctant only at my request. Please help any info appreciated. Oh and can bit d be high from mega dosing with vitamins? I also had histo 10
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97953 tn?1440865392
MEDICAL PROFESSIONAL
The calcium of 9.1 is not typical of primary hyperparathyroidism.
Would remeasure vitamin D as 25-OH-D.  And repeat blood calcium levels.
Urine Calcium is a bit high.
Usually primary hyperparathyroidism has calcium >10, but not always and the high urine calcium may be a good clue (although it is not that high in your case).
The sestamibi scan is for patients with primary hyperparathyroidism to help locate the source of the problem - it is not used to make or exclude the diagnosis.
The T-score for bone density of -3.5 is quite low for age.  If there is still doubt about diagnosis, consider going to university or specialty clinic for further evaluation.
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Avatar universal
Im new I not sure if I sent you the response or sent it to myself. Can you read my other posts?
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Avatar universal
Oh calcium in 24 hr urine 258, oxalate 48, uric acid urine 820, total urine vol1.38, sodium 200, phosphorus 1485, creatine urine, 1956, calcium oxalate2.86, brushite 4.10, sodium irate 6.13.
Protein/ creatine ratio 104,  protein total 24hr urine 154.
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Avatar universal
My viamin d, 1,25 oh 2. - 75
My Pth went from 72 to 100 in three weeks.
I got the report for the thyroid today- right thyroid measures 47x17x15 the left is 36x12x10. The nodule-solitary hypoechoic 8x7x5mm in the right lower lobe which has central vascularity.
I go for the estabelli on sat. My doc doesn't think I need an I123 scan.
Oh and my calcium was 9.1.
My osteo was -3.5
If I forgot anything pls let me know.
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97953 tn?1440865392
MEDICAL PROFESSIONAL
need more information -- what is blood calcium level and 24 h urine calcium level.
what specifically is the 25-OH-D (besides "high").  this may be hyperparathyroidism, but tough to know from your post.
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