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The parathyroid glands regulate calcium levels in the body. Parathyroid disorders may cause a loss of energy, low vitamin d levels actonel, osteoporosis, kidney stones, depression, and many other symptoms.

Diagnosis and treatment are key to managing a parathyroid problem and will help to control the related symptoms, low vitamin d levels actonel. Krupa Doshi for answers to your questions concerning the entire spectrum of parathyroid disease and low vitamin d levels actonel treatment options. She is board certified in endocrinology and internal medicine, and her specialty interests include general endocrinology, parathyroid and calcium disorders, osteoporosis, diabetes, hirsutism, thyroid disorders, and adrenal disorders.

A graduate of the University of Bombay, Seth G. She completed her endocrinology fellowship at Cleveland Clinic. You can also visit us online at www. Welcome to our Online Health Chat with Dr. We are thrilled to have her here today for this chat. The parathyroid gland produces the parathyroid hormone that maintains calcium and phosphorus balance in the body.

Often, people develop parathyroid disease from a benign tumor, or from one or more glandular enlargements. Sometimes, the disease runs in families and can occur with some other endocrine gland overactivity. Many times, it can occur without any reason. Most patients with a parathyroid problem have no symptoms, low vitamin d levels actonel, and a routine blood test tells the physician that there may be an issue.

Some patients may have subtle and non-specific symptoms, such as muscle and joint aches and pains, increased urination, and an inability to low vitamin d levels actonel clearly foggy memory, low vitamin d levels actonel. More clear-cut signs and symptoms are bone loss may show up on low vitamin d levels actonel density test and kidney stones. The BEST treatment for primary parathyroid disease that could occur from a benign parathyroid adenoma or enlargement of multiple parathyroid glands is surgery.

This can be curative. For parathyroid disease that is from long-standing kidney disease, and which is not responsive to medical treatment, surgery is the best option as well.

Occasionally, when patients are not good candidates for surgery, bisphosphonates and some other medications may be used to prevent bone low vitamin d levels actonel. So my recommendation would be: I did have high blood pressure, but no longer do since I have been exercising regularly and drinking more water. Blood work and bone density scans can point you and your physician in the right direction.

Having an underactive thyroid and taking Synthroid levothyroxine will not affect your bone health unless you are taking too much since too much Synthroid can contribute to bone loss. I am glad to hear that your BP is normal!

When someone has vitamin D deficiency 16 and low calcium, can that cause low vitamin d levels actonel formation? Someone told me that calcium can be leached from bones unregulated during vitamin D deficiency and that can lead to secondary hyper or hypo parathyroidism.

If someone has thyroid symptoms but the PTH test is normal, then what is going on? Let me say that most patients with vitamin D deficiency and low calcium do not have stones. Kidney stones can occur from a variety of causes. To answer your second question, thyroid and parathyroid glands do completely different things, low vitamin d levels actonel. So if someone has thyroid symptoms, they should have a thyroid panel run.

How much vitamin D do you recommend for good bone health, and can it reverse osteoporosis? Most adult patients, in my experience, seem to need somewhere between to IU of vitamin D daily. BUT, there is a WIDE variation in the amounts, and the best way to determine the best dose for you is to have your levels tested. My blood level of vitamin D has not been tested, but if it should test extremely low, how much vitamin D supplementation would you recommend?

Are there any upper limits above which it would be toxic? I usually start with 50, IU once or twice a week depending on how low the levels are and after making sure the calcium level is not high. Blood tests should be done two to three months later, and the dose can be adjusted based on the results. Levels above 80 to I am not sure of the units here are considered to be in the toxic range, low vitamin d levels actonel. Will thyroid tests also detect problems in the low vitamin d levels actonel glands?

The thyroid and parathyroid glands do completely different things. They have similar sounding names, since they are in the same area of the body front of the neck.

A thyroid panel TSH and free T4 will give a good idea of a thyroid problem. Most parathyroid gland problems the most common being an overactive gland are detected on a calcium lab test. What types of tests are used to determine thyroid or parathyroid problem in a patient? I have occasional severe fatigue symptoms and depression. The best screening thyroid tests are TSH and free T4. The best tests for a parathyroid problem are serum calcium, PTH, and 25 hydroxy vitamin D.

There are many causes of severe fatigue and depression, and I think it may be best to see a physician for a complete work-up. I have osteoporosis and a history of kidney stones since my teenage years.

If I take calcium for the osteoporosis, I get a lot of kidney stones. So what can I take or do to stop bone loss and not have a bunch of kidney stones to deal with? I am 75 years old. And thank you for your feedback. Kidney stones actually recur more from LOW calcium. In your case, it may be much better to get all of your calcium needs met from DIET rather than supplements.

Calcium from diet is much less likely to cause problems with stone recurrence. A bisphosphonate and adequate vitamin D is also advisable for osteoporosis, along with calcium. Since you have osteoporosis based on your bone density results, you should be on another agent, such as a more potent bisphosphonate or a bone-forming agent such as teriparatide.

Is there a relationship between hyperparathyroidism and breast cancer? There has been some implication between hyperparathyroidism and breast cancer in some studies. If a person is experiencing accutane and pearly penile papules, what should be looked at, especially with the parathyroid?

There are many causes of fatigue. To rule out a parathyroid problem, it may be worth checking a calcium PTH and a vitamin D level. Low vitamin d levels actonel D deficiency often causes fatigue.

In addition to the fatigue and depression, I also have had many bouts with gastrointestinal discomfort. This is a very general question, and it is hard for me to give a more definite answer. An overactive parathyroid gland can cause abdominal pain. Thyroid problems uncommonly present with gastrointestinal discomfort, but can easily be picked up by a simple blood test. Is it common for a patient with hyperparathyroid disease to be diagnosed with POTS? I know there are many symptoms related to hyperparathyroidism.

How common is it to have high blood pressure with tachycardia? I am not aware of an association between hyperparathyroidism and POTS postural orthostatic tachycardia syndrome. To answer your second question, most 80 percent or more patients with hyperparathyroidism have no symptoms.

However, high blood pressure has been associated with hyperparathyroidism and could be one of the many symptoms that may arise with the disease.

I just had a bone scan and the reading is about the same. My hip is I did break ribs about 10 years ago. I am not sure what he is telling me. I am somewhat concerned with the hip. Can you advise me? Is there a way I can send records to Cleveland Clinic to get advice? I know they do this for the heart.

Cleveland Clinic has a second opinion service for all of our specialties. The website is www. You will need to copy and paste this into the address bar. My cousin found out she had a parathyroid problem because of something that was happening to her fingernails. What is this and how would this be an indicator?

I am low vitamin d levels actonel aware of any relationship between a parathyroid problem and fingernails. Krupa Doshi is now over. Thank you again Dr. Doshi for taking the time to answer our questions today about Osteoporosis, Fatigue, and Kidney Stones: What is My Parathyroid Doing? This has been a fantastic opportunity for me! Thank you for all the great questions. To request a remote second opinion, visit www. This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider.


Low vitamin d levels actonel