It is important to remember that high calcium levels are never normal.
The first thing to check is that the patient is not taking any medication or additional calcium in the diet that might alter the results.
After this testing PTH levels is vital.
PTH - parathyroid hormone - levels should be essentially zero if the calcium is high. Normal (or better termed 'inappropriately high') PTH levels and high PTH levels both are indicators of parathyroid disease.
Patients should be seen by an endocrinologist or experienced parathyroid surgeon to sort out this condition.
Most but not all patients should be offered surgery as this is the only permanent cure.
www.bucksendocrine.com
www.thyroidsurgeon.org.uk
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