Posts Tagged ‘PTH’

So how do you find out what aspects of your bone health are pretty good already, what will be easy to fix, and what will take some real work?  Start with a Complete Bone Health Evaluation.

DXA is about 1/3 of the story and should include both hips and spine.  When you are as old as I am, the spine probably is too arthritic to be really accurate, but helps complete the picture.  If you have had a total hip replacement, you should use the non-dominant forearm.

VFA will pick up many persons at increased fracture risk who are missed by DXA alone.  You should ask for VFA, especially if you or a parent have kyphosis (humpback) or have lost height.

The FRAX calculation picks up different individuals at high fracture risk.

Blood tests should include CBC, CMP, TSH, PTH, and 25-hydroxy Vitamin D as a start.  Further testing may be needed.

A medical history and examination focused on bone issues is a critical part of the full consultation.  We allot a minimum of 30 minutes for discussion.  Often a follow-up visit is needed to be sure both we and our patients are clear on the whole picture.

DXA alone misses over half of the individuals who need to improve their bone health.  Get a Complete Bone Health Evaluation.

Jay Ginther, MD

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

February 6, 2014 @ 7:31 am
posted by Dr Ginther

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 – Reset Thermostat

January 30, 2014 @ 7:37 am
posted by Dr Ginther

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.