This looks like primary hyperparathyroidism given the Ca in the 10-11 range with high PTH levels. It is not unusual to see high-ish Ca levels in young adults, but typically not with high PTH levels like this.
Can you ignore the 1st pth report. Does this still look primary if you look at these reports ?
pth = 103.80 ; ca = 10.02 (3/10/12)
pth = 61.20 ; ca = 10.48 (10/10/12)
pth = 51.40 ; ca = 10.30 (18/10/12)
ca = 10.49 (20/10/12)
ca = 10.58 (8/11/12)
thyroid profile
t3 99.25 ng/dl (84.63 - 201.8)
t4 8.35 ug/dl (5.13 -14.06)
TSH 2.05 uIU/ml (0.27 - 5.5 uIU/ml)
I also took beneficiale capsules which is a multivitamin around 26-27th September. Can ca rise due to that ? It has vitamin A 2500 IU. Here are the links for the supplement I took around 26-27th.
http://www.cimsasia.com/India/drug/info/BENEFICIALE/BENEFICIALE%20cap
http://www.mims.com/India/drug/info/SUPRACAL%20TAB/SUPRACAL%20TAB%20tab
CA was 11 only the first time I measured on 26th september and ca was 12 on 27th september. Now I took 2 tablets of supracal 200 units which had 200 IU of D3 and calcium citrate of around 1000 mg. Ca can't go from 11 to 12 in one day so I think my supplements made it high. Can this raise your calcium from 11 to 12 in one day ? I'm not sure on which date I took those supplements but maybe on 26th september I took 2 tablets.
Also on 10th nov, I was having high rapid heartbeat with BP of around 140/80, strong headache, dry mouth(thirsty), When I tried to smile, the right cheeks were tremoring. My eye leds was also shaking. I also had leg twitches. I rushed to the hospital due to rapid heartbeat. I'm now taking Inderal 40, dolo 650 for headache.
(11-12/10/12) took 2 tablets of vitamin d after the pth of 61.20, it had calcium citrate 1250 mg, vitamin D3 500 IU.
pth = 51.40 ; ca = 10.30 (18/10/12)
ca = 10.49 (20/10/12)
pth = 36.20 ; ca = 10.60 (31/10/12)
ca = 10.58 (8/11/12)
vitamin d = 3.42 ng/ml ( > 30 ng/ml) ;
vitamin d = 28.80 nmol/L (>-=75 -250)
vitamin d = 32.80 nmol (>= 75 -250 )
magnesium
16/10/12 = 2.00 (1.80 - 2.60)
31/10/12 = 1.70
10/10/12
protein 7.34 (6-8.4)
albumin 4.67 (3.5 - 5.5)
a/g ratio = 1.75 (1.20 - 1.60)
8/11/12
protein total 7.62 g/dl (6.60 - 8.70)
albumin = 4.96 g/dl (3.50- 5)
A:G ratio 1.86 (0.90 - 2.00)
Albumin has increased from last report and is at border normal.
phosphorus in first report was 3.5 but now has been high and is fluctuating between 4.6 - 5.0
Alkaline phosphate has gone down from 353, 119 to 106 in the reports.
30/9/12
Calcium, 24 hours urine 85.50 (100-300) mg/24 hrs
total volume 4500 (800-1800) ml/day
Sestamibi scan = negative
Dexa scan shows osteopenia.
Is serum calcium upto 10.6 normal for a 23 year old male ?