woman getting checked for hyperparathyroidism

Hyperparathyroidism: Important word to know if you have high calcium

Did you know that there’s an estimated 1-7 cases of hyperparathyroidism per every 1000 people? The Journal of Clinical Endocrinology & Metabolism reports that “Primary hyperparathyroidism (PHPT) is a relatively common endocrine disorder… It is believed to be the most common cause of hypercalcemia, predominantly affecting elderly populations and women two to three times as often as men.” (2013) Despite this statistic, many are unaware of the causes, effects, and cures for this condition. Continue below to see how you can be proactive about your parathyroid health. You might just find that your tendency to feel sluggish isn’t because of an imbalance of caffeine, but calcium. 

What Causes Hyperparathyroidism? 

Before we can dive into the symptoms and cures of hyperparathyroidism, it’s important to understand the parathyroid glands. The four parathyroid glands reside in your neck behind your thyroid. They are the only organs that we have four of and are responsible for drawing calcium into your bones and bloodstream when you need it. They also let calcium out of your body by pushing it through your kidneys daily. It seems like a small job, but your parathyroid affects many elements of your physical and mental health. When one or more of the parathyroid glands becomes overactive, it releases too much parathyroid hormone (PTH). The excess PTH draws in an unhealthy amount of calcium into your bloodstream. This condition can lead to anything from chronic fatigue, anxiety, memory loss, and depression to high blood pressure, kidney stones, and bone loss. Because of this, it’s very important that you’re aware of the symptoms to look out for. 

Symptoms

The symptoms of the unhealthy parathyroid gland(s) can be subtle and often go ignored. Many patients don’t realize they are suffering from hyperparathyroidism until they get the high calcium results from a routine blood test. Although sometimes high calcium (calcium above 10 mg/dl) is only temporary, an additional blood test should be taken to measure the Parathyroid Hormone (PTH) level. If the calcium and PTH tests are normal, then you do not have hyperparathyroidism, but you should stay updated on your calcium and PTH levels as a small change can lead to big differences in your well-being. If your calcium and PTH levels are high, you almost certainly have hyperparathyroidism. Almost all parathyroid patients have symptoms; as for the ones who don’t, they typically don’t realize they were suffering until it’s fixed. Everyone experiences different symptoms of Hyperparathyroidism. The most common are chronic fatigue, body aches, difficulty sleeping, bone pain, memory loss, poor concentration, depression, and headaches. Be consistently aware of the possible symptoms your parathyroid health could be causing. A small procedure just might end a lot of your suffering.

What Can I Do?

The good news about hyperparathyroidism is that there is a highly effective cure. Parathyroid Atlanta’s minimally invasive surgical techniques make recovery an easy process. What was once a life-threatening health problem can be removed with minimally invasive radio-guided parathyroidectomy (MIRP) surgical techniques. With MIRP, the operation occurs through about a one-inch-long incision, and it takes about 30-60 minutes. In most cases, the parathyroid gland that’s causing issues has been identified, but all four glands are still tested during the procedure. If any other glands are overactive, they are removed during the operation. If you believe you could be silently suffering from hyperthyroidism or want more information, please give our office a call. We would be more than happy to get you into our office so you can get on top of your parathyroid health. Don’t suffer in silence, get your calcium and PTH levels checked today.

Your parathyroid glands only have ONE job.

I really think it’s interesting that the parathyroid is the only gland in our bodies that God had some reason to give us 4 of. In our bodies, no other gland or structure has as much duplication. Perhaps the fact that there are four of them has something to do with why one of them will occasionally go out of whack and start producing more hormone than it should. Your parathyroid glands only have one job: to keep your calcium levels normal. This is critical because calcium is required for the proper functioning of many metabolic pathways. This includes your nervous system, kidneys, bones, muscles, and other organs.

There are several reasons to choose an experienced surgeon for your parathyroidectomy. One being, parathyroids can be hard to find. They’re so small that doctors had no idea that parathyroid glands existed until about a century ago. They blend in with the background, and the skills required to perform a successful parathyroid operation are not learned with just a few cases under your belt. It takes hundreds of surgeries to master the art of parathyroid gland removal. A surgeon with little experience may find the abnormal gland and reduce your calcium, but studies have shown that surgeons with low volumes have a much higher percentage of patients who are not cured with the first operation. And if your operation fails, you’ll need a second one. Which will not only be an annoyance, but also cause an increase in difficulty level during removal. Therefore, it’s always a good idea to give the first operation your best shot. Do your research and find a doctor well suited for your needs. 

Another important thing to be aware of is finding a surgeon who cares. You only want to work with surgeons who have a passion for parathyroid surgery. For me, it’s fun. I love looking for parathyroid glands, it’s like finding buried treasure. And I have treated thousands of patients with the disease, each being a unique experience.  I take pride in my success rate being about 98%, I rarely perform a second parathyroidectomy. Remember, it’s worth it to travel to an experienced center to maximize the likelihood of success with your first and hopefully only operation. This shortens your road to recovery and alleviates the burden of possible suffering from Hyperparathyroidism symptoms in the future. 

If you’d like to become a patient or simply want more information, go to parathyroidatlanta.com or contact us by phone.  We have many patients who travel from out of town for their treatment. We can easily set up telehealth consultations in advance of planning surgery for you.  We do not charge any additional fees for reviewing your medical information prior to a consultation.

Parathyroidectomy and Osteoporosis- It Makes a Difference!


This week I received an email from a patient who underwent successful parathyroid surgery about 2 years ago. Her case was interesting in a number of ways, but especially because she had known for over 10 years that her calcium was slightly elevated, and her physicians had told her they would continue to “just watch it”. During that time frame, her bone density gradually deteriorated to the point that she had frank osteoporosis, only in her early 60’s. This was especially distressing to her, as she worked in physical education. In addition to the osteoporosis, she was finding herself more and more exhausted with less and less activity. She decided to investigate on her own about causes of high calcium, and it was then she referred herself to me.

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dont lose your fastball

Hyperparathyroidism Can Affect Anyone — Even a Major League Pitcher!

Hyperparathyroidism is a disease that is underrecognized, underdiagnosed, and undertreated.  It is typically manifest as a slight elevation in your calcium level, and your doctor might even overlook it, maybe not even aware themselves of how big an impact that slight elevation in your calcium level may have. But the truth is, calcium impacts so many functions in the body, there are many symptoms that can occur, including a decreased energy level, tiredness during the day, muscle weakness, lack of concentration, or memory loss, bone pain, excessive thirst, perspiration, and urination, and the list goes on.

And so, Washington Nationals pitcher Jon Lester found himself with many of these symptoms that had been present for awhile, and he began worrying that his pitching career might be ending. 

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My calcium level is high.

Does this statement describe your situation? “My calcium level is above the normal range. I asked my doctor and they said it’s nothing to worry about, and we can just keep an eye on it. Is that okay?”

Short answer, no, it’s not okay.

So why do some doctors not follow up on an elevated calcium level?

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