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Hypoparathyroid management of calcium

There are 2 schools of thought on management of calcium following surgically induced hypoparathyroidism. (1) increase active vit D (calcitrol) until ca levels can be managed with mostly dietary calcium or (2) take around 2000mg ca supplements and adjust calcitrol up or down to maintain levels.  Anyone have any experience  with the first method ???? I am getting conflicting instructions from different doctors.
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thank you for the input, but that does not answer my question.
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1756321 tn?1547095325
I had hypoparathyroidism due to severe magnesium deficiency and couldn't raise vitamin D or calcium levels up until I corrected magnesium levels.

Vitamin D levels need to be at 32 ng/mL (79.8 nmol/L) to optimally absorb calcium.  I found out the hard way that too much calcium and not enough magnesium = calcification.

Excerpts from Life Extension: Potential Danger Of Calcium Supplements...

"A study published in May 2012 showed that calcium supplements may increase risk of cardiovascular disease. This study tracked almost 24,000 Europeans and suggested (in a subgroup analysis) that people taking only calcium supplements were about twice as likely to have a heart attack.1"

"Calcium Should Not Be Taken By Itself

Those involved in nutritional medicine have long known that people who supplement with calcium should also take adequate amounts of magnesium. The reason is that magnesium is a natural calcium channel blocker.2

Magnesium deficiency can induce elevation of intracellular calcium concentrations, and accelerate atherosclerosis.3 Calcium is a component of atherosclerotic plaque and when calcium salts build up in soft tissues it causes hardening, which is technically called calcification.

Exposure to excess amounts of calcium over time, without adequate magnesium sets the stage for endothelial dysfunction and formation of atherosclerotic plaque.3-7"
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