Hi, I had gone through your question and understand your concerns. My opinion is that you should not worry so much about it now unless the diagnosis is confirmed. We should differentiate next statements: - primary hyperparathyroidism(check parathormon); - manifestation of vitamin D intoxication(check level of Vitamin D); - Williams syndrome, tubulopathy (consult genetics); - leukemia, lymphoma, myeloma, neuroblastoma, hepatocellular carcinoma(consult haematologist, oncologist); - after chronic ingestion of vitamin A; -Hypophosphatasia, a metabolic bone disease characterized by bone and teeth hypomineralization due to defective function of tissue-nonspecific alkaline phosphatase (TNSALP), is also associated with hypercalcemia. - Familial hypocalciuric hypercalcemia - an autosomal dominant disorder You should avoid severe hypercalcemia,it can affect the nervous system and cause weakness, hypotonia with proximal myopathy, lethargy and stupor, and rarely seizures. Hypercalcemia can also induce polyuria and dehydration, diabetes insipidus, nephrocalcinosis . I would suggest you: - reduced calcium diet(avoid milk products, cheese and etc.); - continue pamidronate,it is inhibitor of bone resorption; - consume food enriched with Potassium, because it is Calcium antagonist(apricot, raisins,banana,potato and etc.) If you do not have any clarifications, you can close the discussion and rate the answer. Wish your daughter speedy recovery and good health!