Hyperparathyroidism FAQs | Dr. Babak Larian Facebook Live

Every month I host a Facebook LIVE event and answer frequently asked questions about parathyroid disease. You can find the time stamps to questions in the first comment below.
I am a renowned for my expertise in minimally invasive parathyroid surgery. At the CENTER for Advanced Parathyroid Surgery, our goal is to provide every patient with customized and compassionate care because parathyroid disease affects everyone differently. If you or a loved one is suffering with parathyroid disease, please contact our office today so we can give you the care you deserve.
LEARN MORE ABOUT PARATHYROID DISEASE AND TREATMENT - www.hyperparathyroidmd.com/
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[@ninajohnson8389]

This man is a rock star and saved my life. Highly recommend Dr. Larian.

[@saloncentricmagic1]

I too had extremely painful teeth...if I had hot food or teeth exposed to cold weather would throb horrible 😢 I would have to take advil ....after Surgery almost all gone at the point ... Keep getting better

[@arymhansie]

Thank you for such an informative video Dr Babak, my daughter has an adenoma on her parathyroid. She is still on the waiting list since a year, Her PTH levels are 19 now. I am worried as her Vitamin D is at 41 and her endocrinologist has prescribed 800 IU'S for her. I wish I could bring her to you but you are obviously too far and your charges need to be taken into account. I am petrifies, I wish I could get it done privately but it costs £7,000 .

[@GG-qy2js]

You may be saving me. Never tested for PTH while cal slowly goes up yearly. VitD rx, high BP, gerd, hypothyroidism, short of breath, osteopenia , hoarse..

[@noname29288]

My PTH is almost at 100, I have heart palpitations, shortness of breath, fatigue, constantly clenching my teeth and all of my bones crack non stop and no menstrual cycles

[@user-jl5lh9mq2b]

I'm having symptoms too. It's terrible. I feel for you and hope you do well.❤️

[@Rene-uz3eb]

17:44 pth leading to heart disease. I actually am pretty sure it's the decrease in calcium that leads to heart disease: pretty logical, given that calcium is what drives the contraction of the heart. Low calcium, weak contraction.
Nutrient profile of heart disease patients the one nutrient that the most were low on intake was calcium
Nutrient Intake in Heart Failure Patients, 2008
Since high PTH leaches the bones.
Calcium intake also correlates with muscle mass, another indicator. Sarcopenia is associated with heart failure.
"...risk of phosphorus insufficiency rises...should receive at least some of their calcium co-therapy in the form of a calcium phosphate preparation."
Calcium Effects on Phosphorus Absorption: Implications for the Prevention and Co-Therapy of Osteoporosis, 2013
Co-dependence of calcium and phosphorus for growth and bone development under conditions of varying deficiency, 2003

[@LarianMD]

You are right in a normal circumstance. In the setting of hyperparathyroidism, the high calcium causes aberrant signal conduction in the heart, the high PTH causes thickening and inefficient contraction of heart muscles. Very different mechanisms than normal parathyroid function.

[@RAZAB007RAZA]

My calcium level was 2.99 two days ago than 3L IV Fluids given to me now it's 7.2 as kidney function normal and all blood test ECG chest x-ray normal only PTH is 13 so is there any serious issue or it will b recovered as I was taking vitamin D3 tablets iu 1000 from last 2 months.

[@redtailpilot]

What about radiation exposure to your neck, like I had roughly 30 yrs ago (after keloid scar removal). Administered by a well known plastic surgeon here in the state of NJ, at a well known Hospital. 58 yr old male, recently diagnosed with one adenoma on the same side as the radiation therapy! Osteopenia and reduced kidney function (stage 1 CKD). Parathyroidectomy next week. Considered hiring a lawyer, but since my doctors do not suspect or see any signs of malignancy, I'll probably let it go. 🤔 Oh, BTW the radiation therapy was a complete failure! The keloid returned even bigger!

[@LarianMD]

That could certainly be the cause. Radiation exposure is one of the known causes of hyperparathyroidism

[@redtailpilot]

​@@LarianMD Thanks for your reply. Yes I've seen several medical documents and government publications that all confirm this. The thing the struck me most, is that they say the average latency period before the tumor is detected is "30 years!". They also mentioned that it tends to effect the parathyroid glands in particular (more than the thyroid). Well, my surgery was successful, blood work in normal range and other than my voice still raspy, I'm feeling very well in general. Thankfully, I'm in the 99% group (benign)! 🙏🏾 I did contact a few attorneys and presented my information and the documentation that I discovered linking radiation treatment and parathyroid tumors, however, they declined to pursue the case due to the timeframe and difficulty it would be (even though my recent diagnosis falls into the "Discovery Rule"). So although they recognize the validity of my case, they do not think it would be worth the time and expense to pursue. The most important thing is that I'm on the road to better health and I'm extremely fortunate and thankful that I have a great doctor who picked up on this when he did (I just started seeing him a few years ago and get an annual physical). Keep up the good work with your videos, educating the general public on the various medical conditions that we face. Thanks again Doctor!

[@LarianMD]

th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Wife has hyperparathyroidism and is on blood thinners due to a mechanical valve. Is vitamin D deficiency due to lower calcium levels? Could she still have surgery?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Specialist says they are concerned I have normocalcemic primary HPT. I had surgery in 2008. Specialist does not recommend surgery w/ symptoms and lab concerns. Is 6 months too long to wait for more labs?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - re-check in with first commenter
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Can high PTH cause tooth pain? Have you ever seen continued bone pain years after parathyroid surgery? Should I approach a new surgeon with new data?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - I am having pain in my rib cage, groin, and hands and I have pins and needles feeling after two surgeries. Why is this happening and when should it go back to normal?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - What happens when PTH is normal, calcium high and Vitamin D levels low?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - I have low calcium and high PTH in my labs. Can you go over secondary normocalcemic hyperparathyroidism
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Is it possible to have abnormally high PTH and calcium levels in blood and not have primary HPT?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - My endocrinologist says I have secondary HPT. I was taking 1500 mg of calcium, but was told to take 2000 mg. My calcium dropped after taking 2000 mg of calcium. I’ve always been normocalcemic, any thoughts?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - I had all 4 parathyroid glands removed. Surgeon attached a piece of the gland to a muscle hoping it would work but 5 months have gone by and it’s still not functioning. Is there any hope?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - 6 abnormal parathyroid glands removed and piece of gland reattached to a muscle and had luck after 2-3 years anecdote
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - How long does the body take to readjust after surgery and reach a new normal?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Recovery time anecdotes from commenters
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Anxiety, HPT and stomach pain.
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Son had three parathyroids removed in 2020 and labs have normalized. Can I say there’s no risk of cancer cells now?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Scheduled for surgery for adenoma on sestamibi scan, PTH and calcium high, Vitamin D fine and have had hypothyroidism for years. Surgeon mentioned my thyroid was very small and asked if I had been diagnosed with Grave’s disease. Why would he ask this and should I be concerned about having a small thyroid?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - I was told a 24 hour urine test is only to determine if FHH is present. Is this true?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Have you heard of Calcium alpha ketoglutarate and can it help with HPT?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Is it possible my autoimmune disease is causing high calcium, low vitamin D and high PTH?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Why did my PTH go up during surgery?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Normal PTH, calcium has been high 10s to high 11s. I’ve had parathyroid surgery before and I feel awful now, what should I do?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Why is my calcium normal and my vitamin D is low?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - How common is it for elderly people to have parathyroid problems?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - What role does genetics play in hyperplasia and can it cause heart disease?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - PTH is elevated, calcium is normal. I have osteopenia and have fractured 2 ankles. Doctor wants to check bloodwork in a year, what should I do?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Can you discuss what else can cause low urine calcium besides FHH?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Can I do a fasting lab with only drinking water at 11 am instead of 8 am?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - My calcium is in the 10s and with PTH and vitamin D normal, was told to stop taking vitamin D. What does it mean if Calcium is normal now?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Is a second adenoma harder to remove than the first time around?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - Is there a link between parotid tumors and parathyroid tumors?
th-cam.com/video/b5OnmLaudY8/w-d-xo.html - My doctors don’t believe I have HPT but I am concerned with labs and my symptoms, what do you think?