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DrRussMd, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 64645
Experience:  Internal medicine doctor. Years of experience with diabetes, both conventional treatments and diet treatments.
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Calcium 10.3 -10.4 back to 10.3 Pth 52.8 first reading

Customer Question

Calcium 10.3 -10.4 back to 10.3 Pth 52.8 first reading second reading 60.0 inizoned calcium 1.34 symptoms extreme fatigue all the time . Frequent urnation . Joint pains . Tingling in hands and feet . And fingers . Occiasional constipation .chest pain heart burn . Headache occasionally .
Submitted: 1 year ago.
Category: Endocrinology
Expert:  DrRussMd replied 1 year ago.

Your ionized calcium is normal.

Your PTH is normal.

I would focus on thyroid testing and adrenal testing.

I would look at kidney function.

Hemoglobin A1C

ANA panel and sed rate.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 1 year ago.
Ana is normal Esr is normal . Hemoglobin is normal on repeated blood works . And kidney function is normal based on blood work and cat scan . I researched that high calcium and high normal can be parathyroid issues possibly ? Or cancer ?
Customer: replied 1 year ago.
Thyroid panel is normal as well
Expert:  DrRussMd replied 1 year ago.

You do not fall in the parathyroid range, your numbers are normal.

No, not cancer, that sounds like health anxiety as there is no indication of this for any reason.

You have to check TSH specifically before you can say your thyroid is normal. Guidelines have changed, and over 2.5 is hypothyroid. Most doctors still think up to 4.5 is fine. It is not.

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Or see my add services offer.

Expert:  DrRussMd replied 1 year ago.

An entire adrenal panel would also be useful.

Please click a positive rating.