Your pth is high because your calcium is low, it is possible to have primary hyperparathyroidism with a low/normal calcium but most Drs won't accept that. You will have to see if the vitd supplements have any effect but make sure you get regular tests for calcium, pth and phosphate.
Your calcium is ok at low end of the range and pth would high end in relation to that but shouldn't be over range.
Personally I would start off with the dose of vitd you have been prescribed in case you do have a parathyroid problem, if that seems to be working and you can tolerate it then increase if you wish but high doses of vitd in hyperparathyroidism are to be avoided.
First of all, you shouldn't increase your dose by more than 25mcg increments, retesting 6 weeks after increase to check levels, increasing in 25mcg increments if further dose increases are necessary. The aim of a treated hypo patient generally is for TSH to be 1 or lower with FT4 and FT3 in the upper part of their ranges if that is where you feel well.
I can't help with the hyperparathyroidism but general advice for your level of Vit D would be:
Vit D at 32nmol/L is just 2 points away from where you would be given loading doses according to NICE Clinical Knowledge Summary, where they advise loading doses for levels of <30
You need to supplement with far more than 1000-2000iu D3 daily. The Vit D Council recommends a level of 100-150nmol so you should start supplementing at least 5000iu daily, then retest after 3 months. Once you reach the recommended level then you drop down to a maintenance dose which may be 2000iu daily, maybe more or less, it's trial and error. Supplementing will be for life so retest twice a year to keep level within the recommended range.
When taking D3 there are important cofactors needed
D3 aids absorption of calcium from food and K2-mk7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissue where it can be deposited and cause problems. Magnesium helps the body use D3.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day and D3 should be taken 4 hours away from thyroid meds. Magnesium is calming and best taken in the evening, 4 hours away from thyroid meds.
Hi, I don't take any other medication at the same time as levo, and yes I take it on an empty stomach before eating and drinking. FT3 and FT4 haven't been tested for quite some time, nor are they likely to be unless I get them done privately, which isn't an option for me at the moment. I have mentioned about possible conversion issues, but that fell on deaf ears, endo who was less than helpful unfortunately..
Sorry, yes I'm supposed to take 2 omeprazole 20mg daily, but I just take 1 most of the time, as I'm sure I read somewhere that this can interfere with absorption of levo, or maybe someone told me, can't remember..
It can indeed! It can affect the absorption of everything. It lowers stomach acid. Whereas hypos usually have low stomach acid, anyway. But, the symptoms are the same, so doctors assume that they have high acid and prescribe PPIs.
Try the home acid test at the end of this article :
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