Hyperparathyroid

[ah3904]

Dear Dr.Lupo,
I recently posted a question about my PTH of 81 with an ionized calcium of 1.32.  I did as you suggested and checked my Vitamin D, 25-Hydroxy which was normal at 47.0.  So what do you suggest I do now?  I also had my Treadmill Stress test today and echo. The results are good.  The only problem was that during the stress test my HR went up as expected.  I then had the echo after and my HR remained in the 130's the whole time. It was difficult to get good pictures with such a fast HR but the cardiologist said everything else is okay. I continue to not feel well and don't know what I should next.
Here are all my Labs so far so you don't have to go back to a previous post.
PTH 81 pg/mL
Calcium 9.2 mg/dL
Ionized Calcium 1.32 mmol/L
Vitamin D, 25 Hydroxy 47.0 ng/mL
Thyroid Peroxidase <10 IU/mL
Antithyroglobulin Ab <20 IU/mL
TSH 0.71 uIU/mL
Thyroxine 7.6 ug/dL
Iron 76 ug/dL
IBC 351 ug/dL
unbound IBC 275 ug/dL
saturation 22%
Ferritin 79 ng/mL
Total protein 8.0 g/dL
Albumin 4.6 g/dL
Bilirubin, total 0.2, direct 0.0, indirect 0.2 mg/dL
Alkaline Phosphatase 81 U/L
ALT 33 U/L
AST 23 U/L
Urine microalbumin, random <1.3 mg/dL
Urine creatinine, random 9.8 mg/dL
Microalbumin/Creatinine ratio <13.3 mg/g
Any help would be every so greatly appreciated! Thank you so much for offering this forum.

[robin333723]

A related discussion, Hyperparathyroidism? was started.

[Mark Lupo, M.D.]

Not much to do from thyroid/parathyroid standpoint at this time.  The PTH is a little high, clacium is normal, vit D normal.  From what you post, no indication for parathyroid surgery and no clear reason for the symptoms, doubt they are due to a slightly high parathyroid level.