I have had abnormal high calcium levels, mildly high glucose, low tsh, and high liver enzymes. I have many symptoms of a hyperparathyroid so I had an appointment with a endocrine surgeon. He found two nodules on my thyroid one of them near 4 cm and the second one 1.5 cm . He did a biopsy and blood tests. I got the blood test results today and my ionized calcium is elevated slightly, vitamin D is low and the,t3,t4, tsh,pth, and serum calcium are all normal. When I asked if this indicated hyperparathyroid the nurse said usually but not in this case because of the normal PTH. When I asked what it did mean she said we won't know until we have the results of the biopsy. I understand but I have also read that you can have normal PTH with abnormal calcium and vitamin D. I know I need to wait but I don't understand the thought that there isn't a problem with the parathyroid as I have so many symptoms. Feeling lousy and frustrated!