? Hyperparathyroidism symptoms being missed by ... - Thyroid UK

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? Hyperparathyroidism symptoms being missed by doctors

Sailing14 profile image
31 Replies

I seem to have symptoms of this condition and wondered if anyone can help?

I cannot tolerate vit d and I seem to have hypercalcaemia symptoms too. I don’t know if my thyroid health is causing this being not well controlled at the moment or if it is the parathyroid itself?

My recent private parathyroid test and calcium test returned as normal so I don’t understand why?

I see an endocrinologist occasionally and he has never suggested this could be affecting me but the appointments are always too rushed and not thorough with him.

I previously had radio iodine treatment for the thyroid in 2004 but these symptoms only started 3 years ago.

Hopefully, there are people with similar symptoms that may be able to advise.

Thanks

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Sailing14
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31 Replies
SlowDragon profile image
SlowDragonAmbassador

please add your most recent vitamin D, calcium and pth test results

These must be tested together

What other medications and supplements are you taking?

Sailing14 profile image
Sailing14 in reply toSlowDragon

Calcium adjusted 2.36 (220 to 260)

Vitamin D 61 (50 to 375)

PTH 3.3 (1.6 to 6.9)

I have taken a high dose of vitamin D (5700) over the past week but every other day and my symptoms deteriorated and I have stopped it for now. I really don’t know what is going on but it definitely had an affect taking the higher dose.

I take co codamol 30/500 (2 a day), vitamin D, until I stopped on Saturday and regular paracetamol.

If it is a hyperparathyroid condition, am I correct to stop the vitamin d until I can maybe see someone? Or could my thyroid condition be causing it to go hyper?

Also, could it be hypoparathyroidism and not hyper even though above results are in range?

I have a thyroid panel blood test at the weekend.

Thank you for your help

SlowDragon profile image
SlowDragonAmbassador in reply toSailing14

Suggest you try adding a daily magnesium supplement in afternoon or evening (at least 4 hours away from levothyroxine)

Then after 2-3 weeks on magnesium look at starting to add in vitamin D

Suggest you try vitamin D mouth spray at 1000iu or 2000iu per day initially

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Recipe ideas

bbc.co.uk/food/articles/mag...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

helvella profile image
helvellaAdministrator in reply toSlowDragon

Some people are so sensitive to vitamin D supplements that the idea of taking 1000 International Units (25 micrograms) would be horrific. Even a 400 International Unit dose (10 micrograms) - usually regarded as being suitable from birth - causes very unpleasant effects.

No matter which form.

No matter which route - mouth spray, swallowed, even topical.

No matter what additional ingredients - active or inactive.

No matter supplementation with magnesium or any other nutritional supplements.

Few foods have appreciable vitamin D content - other than when fortified. Which ends up being just another way of taking a vitamin D supplement.

Virtually nowhere is this issue acknowledged other than in a few very specific issues - overt parathyroid issues and sarcoidosis and one or two other disorders. But as many will confirm, getting anywhere with parathyroid issues can be impossible. Ironically, it seems more likely that they will be diagnosed after a thyroidectomy.

The only obvious option is for those affected to rely on light exposure - sunlight or artificial and accept all the negative effects associated with that - skin cancers being the most widely known. And costs!

SlowDragon profile image
SlowDragonAmbassador in reply tohelvella

I had severe reaction to vitamin D supplements…..UNTIL I corrected low magnesium levels first

I had 4-6 months terrible bone pain as bones remineralised after decades of low vitamin D

My vitamin D was 12nmol at one point

It was 50nmol when I started supplements

I now take 5000iu per day as spray and maintain at 100-125nmol

I even bought a vitamin D lamp (very expensive) and it still caused bone pain …..because it was the level of vitamin D increasing that was the issue ….bones were having to firm up

Just had a DXA scan and got good results

helvella profile image
helvellaAdministrator in reply toSlowDragon

I did say: No matter supplementation with magnesium or any other nutritional supplements.

Sailing14 profile image
Sailing14 in reply tohelvella

Thank you very much for your help and advice.

I used to be to be able to take vitamin D bug it is only the last three years I seem to be affected but if it is a parathyroid issue then that would be why.

It’s frightening to think that the condition is so difficult to get diagnosed. Hopefully, my thyroid blood test will be able to show me that it could be this causing the problems.

To not take vitamin d goes against all advice on the forum and the N HS (at least through the winter) but it does make you wonder is it better to get all we need during summer months as you said.

Sailing14 profile image
Sailing14 in reply toSlowDragon

Thank you for all these links and the advice on vitamin d and magnesium.

SlowDragon profile image
SlowDragonAmbassador in reply toSailing14

I have a thyroid panel blood test at the weekend.

How much levothyroxine are you currently taking

Which brand

Have you tested B12, folate and ferritin recently as well

Sailing14 profile image
Sailing14 in reply toSlowDragon

Thank you. I take vencamil 100 mcg but I have been moving between accord and Mercury Pharma because of the way I have felt. I know this will mean it could affect the thyroid panel results but do you think it could be attributing to ill health also?

B12 folate and ferritin are normal and all taken in January.

SlowDragon profile image
SlowDragonAmbassador in reply toSailing14

B12 folate and ferritin are normal

Can you add results and ranges

Do you prefer Vencamil?

Many of us find it significant improvement, but you might need to tweak dose

Ideally only test thyroid levels after 6-8 weeks on constant unchanging brand of levothyroxine

Sailing14 profile image
Sailing14 in reply toSlowDragon

I will have a look for these. I also take lansoprazole for acid reflux.

Could it be vencamil just doesn’t agree with me? Or like you said it could need adjusting.

Thanks

SlowDragon profile image
SlowDragonAmbassador in reply toSailing14

Could it be vencamil just doesn’t agree with me? Or like you said it could need adjusting.

Several members have found they need small increase in dose on Vencamil …….but that they do still prefer it

Sailing14 profile image
Sailing14 in reply toSlowDragon

Thank you. That helps a lot.

SlowDragon profile image
SlowDragonAmbassador in reply toSailing14

Suggest you download this parathyroid app and put your results in there

calciumpro.com

App made by

parathyroid.com

Sailing14 profile image
Sailing14 in reply toSlowDragon

I will do. Thanks again.

SlowDragon profile image
SlowDragonAmbassador in reply toSailing14

Calcium adjusted 2.36 (220 to 260)

Range presumably should read (2.20 - 2.60)

Sailing14 profile image
Sailing14 in reply toSlowDragon

Yes sorry

bantam12 profile image
bantam12

The symptoms of hyperparathyroidism can be similar to other conditions and not easily identified. Typically it takes several years to diagnose hpth as the majority of Drs have little to no experience of it, also the levels of calcium and pth naturally fluctuate so takes a long time to catch a trend of elevated levels.

It took 2+ years for me to get a diagnosis and surgery for hpth.

If your latest results came back within the normal range then you will have to keep testing to see if they do go over but you may be barking up the wrong tree altogether, your symptoms could well be thyroid related and that’s what an Endo would latch onto before even thinking about hpth.

I’m another one who cannot tolerate vitd in any form but I do take the odd spray of better you brand occasionally, I however seem to be fine with very low levels and have been for years.

Sailing14 profile image
Sailing14 in reply tobantam12

Thank you very much for all this detailed advice and information.

My symptoms seem worse at the moment. Would a blood test every month be needed to pick it up or less than that?

Also, what could be the cause of the condition?

bantam12 profile image
bantam12 in reply toSailing14

I doubt you would get a Dr to agree to monthly bloods unless there was clear suspicion of an hpth issue, they are reluctant at the best of times ! Besides levels can fluctuate within a short time so you’d be lucky to catch it when higher. The other test you could ask for is a 24 hour urine calcium clearance test but a GP may not be able to do this or even understand the results. You say your thyroid isn’t well controlled so maybe look at sorting that before getting to focused on parathyroid, that is what an Endo would do before thinking about looking for other causes.

Sailing14 profile image
Sailing14 in reply tobantam12

Thank you and for all your help.

StitchFairy profile image
StitchFairy

There seems to be a lot more controversy lately about the benefits of vitamin D supplementation. It seems that studies suggest it's nowhere near as important as it has been made out to be, most especially by the supplement industry.

Maybe stop taking it for a while, and see if your symptoms improve without making any other changes to your thyroid meds etc? And then resume supplementing at the basic UK recommended dose of just 400iu . I found this video interesting (you don't have to subscribe to zoe to be able to watch it!) youtube.com/watch?v=zI0ptL9...

Sailing14 profile image
Sailing14 in reply toStitchFairy

Thank you for your advice. I will have a look at this this evening.

Hedgeree profile image
Hedgeree

Hi Sailing14,

From my reading on the forum it's usually suggested that you test after being on a consistent brand of Levothyroxine for at least six - eight weeks. Just thinking if you've been chopping and changing brands it may affect the results.

I was told I have secondary hyperparathyroidism due to vitamin D deficiency. Thankfully I can tolerate supplements and I'm due to retest soon so hopefully my vitamin D levels will have risen and pth levels will have dropped to within range.

My GP will only do a bare minimum of blood tests. Thyroid tests once a year (no FT3 testing) I'm still titrating up so do my own tests.

Edited) What are your symptoms?

Sailing14 profile image
Sailing14 in reply toHedgeree

Hello Hedgeree

I hope you get to the level that helps your symptoms. I can’t really explain mine, except I felt more unwell with the high dose vitamin D and after taking it for only a week or so.

That is interesting about your hyperparathyroidism being caused by low vitamin D. Could I therefore, have hypoparathyroidism in not being well on a higher dose of vitamin D? There is the blood test due soon though to check my thyroid and I understand too, about the changing in brands but as a lot of us do, we try to see if anything will help make us feel better.

Sailing14 profile image
Sailing14 in reply toHedgeree

I read this too on the internet:

Hypoparathyroidism is a rare endocrine disorder that occurs when the parathyroid glands in the neck produce too little parathyroid hormone (PTH). PTH regulates calcium and phosphorus levels in the blood and bones. When PTH production is low, calcium levels drop and phosphorus levels rise, causing an imbalance. The most common cause is damage or removal of the parathyroid glands, which can happen during thyroid surgery. •

I have had my thyroid removed by radio iodine in 2004 so this could be a possibility and I have noticed helvella ’s post recently on this.

Hedgeree profile image
Hedgeree in reply toSailing14

I had half my thyroid removed in 2022 due to suspicious cells in a large nodule. At the time I remember asking my surgeon if I still had my parathyroid glands. She said they were intact.

I realise it was a few years ago but is it possible to ask if yours have completely gone/been destroyed?

Sailing14 profile image
Sailing14 in reply toHedgeree

I am not sure if I could find this information out but maybe the radio iodine could have damaged them or some of them?

Hedgeree profile image
Hedgeree in reply toSailing14

There are others on the forum that have had RAI or understand more than I do and may know what happens to parathyroid glands after having RAI. I'll check and tag a few members. pennyannie

You could also if you wanted do a new post asking what happens to parathyroid glands after RAI.

Sailing14 profile image
Sailing14

Thanks a lot

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