Parathyroid/hashimoto,s

[Jemjet]

hi all can anyone tell me the difference between pth and pthrl blood test I have been to see a professor of endocrinology and he says I need a parathyroid removing due to my hypercalcemia I still feel absolutely like I am dying and so nauseous I have also been diagnosed with reactive hyperglycaemia am still on 50 micrograms of Levo but no effect as yet . My nhs endo still hopeless and the professor at Oxford as written to gp , nhs endo and another professor he knows , to tell them what he thinks of all my results as my nhs endo won’t prescribe Levo . I forgot to ask what the difference with the 2 above test the results where:

Serum parathyroid hormone:

5.0 pmol/L

Normal range:

2.0 to 9.3

Plasma parathyroid hormone related peptide level:

6.5 pmol/L

Normal range: <1.5

Not had any more test since last ones I posted but am due .

I just feel so poorly all time and feel so so unwell . 🤗🥰

[PurpleNails Administrator]

The parathyroid are (4 tiny glands) located by thyroid - but have a separate function of controlling calcium.

When testing PTH it must be done on a site with lab facilities as sample has to be processed quickly.

Usually, calcium, PTH, vitamin D (possibly phosphate / & other bone profile) should be tested together.

Low vitamin D can be an issue.

Doctors tend to focus on their own little domain, you might have to be persistent in getting them to look at the whole picture.

I think the related peptide PTHrp is tested before parathyroid surgery, but not always.

If you wanted to read more about parathyroid causing high calcium here a link. NHS.

nhs.uk/conditions/hyperpara...

Here’s some links to sites with parathyroid information & support

parathyroiduk.org

parathyroid.com

[Jemjet in reply to PurpleNails]

Thankyou am worried that this test shows high and pth shows normal . Xx

[Jemjet in reply to PurpleNails]

Posted a little more info this morning and slowdragon asking me couple questions this post was yesterday so am flicking back an too lol

[Jemjet in reply to PurpleNails]

Hi Purple nails thanks for links very informative . Thanks so much xx