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What Does This Blood Report Indicate?
Question: What is considered to be very High PTH levels
My ESR is elevated - 35 (my age is 45)
PTH - 356.2
Ca - 8.2
Vit D - 25
From what I have read the PTH is way out of range, I seem to be Vit D insufficient but I can't see this raising the PTH this high. I have been dealing with a lot of symptoms for years, (Severe Headaches - I have never had all my life till 3-5 yrs ago, NO sex drive - Not unable works fin! Just no interest. Muscle spasms, severe bone aches, vision issues- have always had 20/20 or better, and numerous others) I am steering toward hyperparathyroidism, but the issue I have is the ca - level of 8.2. What I have been able to find that rules it out, but this also explains ALL my symptoms. I have been unable to find any PTH levels anywhere near mine (That didn't have a tumor). I have a appt. with Encro on Aug 4th, but I am afraid he is going to say same thing, that this is not what it is, but not give me any clue what it is. I have gone to my primary for years with these issues and he has found nothing. I just want to be myself again, I am now where near what I was even 5rs ago. I have no energy and can't get enough sleep, no matter how many hours I sleep.
WBC - 5.4
RBC - 4.6 (L)
HGB - 14.3
HCT - 41.5(L)
MCV - 90.2
MCH - 31.1(H)
MCHC - 34.5
RDW - 12.9
MPV - 8.4
PLT - 284
NE% - 60.2
LY% - 27.1
MO% - 9.9
EO% -2.5
BA% - .03
ESR - 35(H)
VIT D - 25(L)
NA - 135(L)
K - 4.2
CL - 101
CO2 - 26
BUN - 14
CREA - 1.01
Gluc - 90
CA - 8.2(L)
T. XXXXXXX - 0.5
T. Prot - 6.8
ALB -3.8
ALP -86
SGOT (AST) - 21
SGPT (ALT) - 30
Osmo -(CALC) - 270.1 (L)
eGFR - 84.57
RF Quantitative CMC - <15
PTH Intact - 356.2 (H)
Does anything stand out?
My ESR is elevated - 35 (my age is 45)
PTH - 356.2
Ca - 8.2
Vit D - 25
From what I have read the PTH is way out of range, I seem to be Vit D insufficient but I can't see this raising the PTH this high. I have been dealing with a lot of symptoms for years, (Severe Headaches - I have never had all my life till 3-5 yrs ago, NO sex drive - Not unable works fin! Just no interest. Muscle spasms, severe bone aches, vision issues- have always had 20/20 or better, and numerous others) I am steering toward hyperparathyroidism, but the issue I have is the ca - level of 8.2. What I have been able to find that rules it out, but this also explains ALL my symptoms. I have been unable to find any PTH levels anywhere near mine (That didn't have a tumor). I have a appt. with Encro on Aug 4th, but I am afraid he is going to say same thing, that this is not what it is, but not give me any clue what it is. I have gone to my primary for years with these issues and he has found nothing. I just want to be myself again, I am now where near what I was even 5rs ago. I have no energy and can't get enough sleep, no matter how many hours I sleep.
WBC - 5.4
RBC - 4.6 (L)
HGB - 14.3
HCT - 41.5(L)
MCV - 90.2
MCH - 31.1(H)
MCHC - 34.5
RDW - 12.9
MPV - 8.4
PLT - 284
NE% - 60.2
LY% - 27.1
MO% - 9.9
EO% -2.5
BA% - .03
ESR - 35(H)
VIT D - 25(L)
NA - 135(L)
K - 4.2
CL - 101
CO2 - 26
BUN - 14
CREA - 1.01
Gluc - 90
CA - 8.2(L)
T. XXXXXXX - 0.5
T. Prot - 6.8
ALB -3.8
ALP -86
SGOT (AST) - 21
SGPT (ALT) - 30
Osmo -(CALC) - 270.1 (L)
eGFR - 84.57
RF Quantitative CMC - <15
PTH Intact - 356.2 (H)
Does anything stand out?
Brief Answer:
Further exams needed.
Detailed Answer:
Hello and welcome on HCM!
I read carefully your description.
The exams you have done until now are not enough in order to conclude for an endocrinological diagnosis. Except the below exams please inform about your rheumatologist diagnosis. If you have done exams for bone density please attach.
- Calcium total and ionised calcium.
-Magnesium and phosphate level.
-Calcium and phosphate level at the 24 hours collected urine.
It is important also to inform about your family history regarding any inherited disease.
It will be a pleasure to inform you further after the above exams.
Kind regards,
Dr.Mirjeta
Further exams needed.
Detailed Answer:
Hello and welcome on HCM!
I read carefully your description.
The exams you have done until now are not enough in order to conclude for an endocrinological diagnosis. Except the below exams please inform about your rheumatologist diagnosis. If you have done exams for bone density please attach.
- Calcium total and ionised calcium.
-Magnesium and phosphate level.
-Calcium and phosphate level at the 24 hours collected urine.
It is important also to inform about your family history regarding any inherited disease.
It will be a pleasure to inform you further after the above exams.
Kind regards,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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