hypoparathyroid question.

[gizzykitty]

Anyone out there with this disorder able to give me insight? I have hypoparathyroid due to removal of my thyroid gland. I take 50mcg's of calitriol a day, and only 1 oscal calcium. My calcium lab done says my level is 8.3 ( 8.5- 10). I don't feel any symptoms though. My concern is the vitamin d lab she ran. The doctor states my vitamin d is low. How is that possible on calcitriol? Also she wanted me to increase my calcitriol but what does that blood test measure? Active or inactive vitamin d?

[gizzykitty]

Well just incase anyone else gets this problem here is the answer i found out from a physician. The lab standardly checked is the inactive form of vitamin d 25hydroxyvitamin d ( inactive form) it is converted in the kidneys to 1,25 dihydroxyvitamin d ( active form). Labs checking vitamin d usually check for the inactive form of vitamin d. So by the doctor telling me to take more calcitriol aka 1,25 dihydroxyvitamin d that would have been wrong. What i am lacking is the inactive form and so i will have to take that instead. Now i have to approach my doctor and she will probably not like me telling her how to do her job

[gizzykitty]

Well just incase anyone else gets this problem here is the answer i found out from a physician. The lab standardly checked is the inactive form of vitamin d 25hydroxyvitamin d ( inactive form) it is converted in the kidneys to 1,25 dihydroxyvitamin d ( active form). Labs checking vitamin d usually check for the inactive form of vitamin d. So by the doctor telling me to take more calcitriol aka 1,25 dihydroxyvitamin d that would have been wrong. What i am lacking is the inactive form and so i will have to take that instead. Now i have to approach my doctor and she will probably not like me telling her how to do her job