Possible parathyroid issue and test results!

[danie17075rm]

I got my test results back.  It is quite interesting.  Last month my thyroid antibodies were above 250 and this month they -anti-thy perox-were 25 with reference  less than 40.  I'm not sure how they decreased that fast in a month.  I have stopped taking my thyroid meds because every time I take them I get horrible panic attacks, heart palps, head aches..etc etc.  My TSH went from 11 to 2.6 without meds???? How does this happen?  It's fluctuating from hypo to hyper in extreme amounts every month.  Here the results and a new problem.  Over the phone they expressed concern over the parathyroid which they said was marginal?  What does this mean?  My endo doesn't understand any of this stuff and I want to know what to ask for on Monday.   TSH - 2.660, normal .550-4.78 Free T4 - 1.16  normal .70-1.76 Free T3 - 3.23 normal 2.3-4..I wanted him to test for both hashimotos and graves antibodies, but he didn't apparently. parathyroid studies
PTH intact- 52                  normal 14-72
Calcium - 10.0                  normal 8.5-10.1
Vitamin D - 11                  normal greater than30
So he said Monday we will discuss the vitamin D which is low and the marginal parathyroid results.  Does this mean I have a problem with it or not?  From what I read, your calcium levels should really never be in the 10's and even with a normal PTH is is suggestive of parathyroid issues.  Is this true?  Could this be why I am having panic attacks, raised blood pressure, headache and side effects to my thyroid meds?  Once again thank you all for the help.  I don't know what I would do without you all.

[danie17075rm]

I don't blame you for switching docs!  I wish I could.  My endo spends about 1 minute with me so he usually does whatever I ask him to do.  The bad part about that is I have to tell him how to do his job.  Too bad I didn't become an endocrinologist.  So it looks like the low vitamin D might be causing all my problems.  It makes me excited to get on supplements.  I hope they will help!  Thank you for your answer.

[medicmommy]

With a low vitamin D level, your PTH could be just doing its job and you caught the calcium level responding -and the PTH might be on its way back down...The problem is the low D level. Vitamin D3 breaks down into calcitonin which "opens the gate" for calcium storage into your bones. With low D, your bones aren't getting replenished well, and the PTH may actually be swiping calcium from them! As a rule, both PTH and Calcium shouldn't be up at the same time, with rare exceptions...
You sound so much like many Hashi's patients here with the palpitations, hyper/hypo symptoms (me included!) Make a stink about wanting the antibodies checked if you have to(Doctors are sometimes comical when a patient stands up for something -They really just want to get onto the next patient and be done with you! -So if you look like you are going to put a glitch in their schedule, often they'll do whatever it takes to get you on your way!lLOL)  Mine said the reason he didn't check antibodies was because it didn't change the treatment...-I'm switching doctors...;) ~MM