Posts Tagged ‘PTH’
Several patients have called us in panic because their friends told them that HyperParathyroidism means Surgery. We reassured them that Surgery is almost never needed in HyperParathyroidism. But we do need to treat it to preserve or restore Bone Health.
Our clinic sees a new case of HyperParathyroidism almost daily. Only one or two a year actually need surgery. How do we cure all the others? Calcium and Vitamin D3 are the key, as long as you take enough.
Most of what we see is Secondary HyperParathyroidism. That is the Parathyroid glands doing their job. Their job is to keep sufficient Calcium in the blood. They steal it from the bones if not enough is absorbed in diet and supplements. Too low a Vitamin D level prevents Calcium absorption.
Sometimes secondary hyperparathyroidism goes on for so long that the glands “reset their thermostat too high”. This is Tertiary HyperParathyroidism and is successfully treated with Calcium, Vitamin D3, Protein, and Multiple Vitamins & Minerals over many months.
Primary Hyperparathyroidism is that rare case where a parathyroid gland goes out of control. It becomes a tumor (not a cancer) putting out too much PTH hormone and steals calcium from bone until it is removed.
Read more about HyperParathyroidism in blogs from last year by clicking on the links.
HyperParathyroidism? Take Control Naturally with proper nutrition.
Jay Ginther, MD
Primary HyperParaThyroidism is the result of one of the 4 Parathyroid glands going completely out of control. It grows in size and puts out increasing amounts of Parathyroid hormone. This steals calcium from bone and raises calcium levels in the blood. This tumor is called an Adenoma. The good news is that it is NOT a cancer. The bad news is that it can and will destroy your bones.
Primary Hyperparathyroidism and Tertiary Hyperparathyroidism both have high PTH and high Calcium levels. The treatments are very different; so it is necessary to tell them apart. This is done by Parathyroid Scan.
Tertiary HyperParaThyroidism is becoming common among older individuals. Or maybe we are just beginning to notice what it really is. The blood tests are the same as Primary HyperParaThyroidism – high Calcium and high PTH. But the cause and treatment are very different.
Tertiary HyperParaThyroidism happens when Secondary HyperParaThyroidism has been going on for so long that the “thermostat is reset too high”. The ParaThyroid Glands have been maintaining a high PTH level for so long that they forget to shut off when Calcium levels are high enough.
High ParaThyroid Hormone (PTH) levels take Calcium out of your Bones. This is good as an occasional event to cover short periods of low calcium intake. Bones store calcium for use in the body. Only recently have we discovered that the flow of calcium into and out of bones is a minute by minute process, controlled by PTH.
As long as equal amounts of calcium flow into and out of your bones daily and weekly, life is good. But, if PTH is high most of the time, you eventually drain too much calcium from your bones and you Fracture. We check PTH as part of a Complete Bone Health Evaluation. High PTH is much more common than we once thought. It is called HyperParaThyroidism and comes in 3 types.