Primary Hyperparathyroidism Facebook Live
Try our Diagnosis Tool here: https://www.southwestparathyroid.com/app If you have high calcium, confusing PTH results, or you’ve been told your labs are “high-normal,” this video is for you. Dr. Deva Boone of the Southwest Parathyroid Center gives a clear, patient-friendly overview of primary hyperparathyroidism (pHPT)—what it is, how it’s diagnosed, common symptoms, why scans aren’t needed for diagnosis, and when surgery vs watchful waiting makes sense. Then stay for an extended live Q&A covering real viewer scenarios (normocalcemic pHPT, post-op labs, vitamin D pitfalls, negative scans, kidney stones, osteoporosis, and more). What you’ll learn - pHPT basics: benign adenoma vs multigland disease - Symptoms: fatigue, brain fog, insomnia, bone pain, thirst/urination, headaches, reflux, palpitations - Diagnosis: elevated calcium + inappropriately normal/high PTH; how age-adjusted “normal” calcium matters; vitamin D (25-OH vs 1,25-OH₂) - Imaging: why ultrasound/CT/Sestamibi can be negative and still not change the diagnosis - Complications of untreated pHPT: osteoporosis/fractures, kidney stones/CKD, hypertension/arterial stiffness, arrhythmias, insulin resistance - Treatment: curative parathyroid surgery vs limited role for watchful waiting - Myths vs reality: “asymptomatic” patients, “mild” calcium ≠ mild disease, “need a positive scan” before surgery Q&A highlights - “High-normal” calcium & “normal” PTH—do I still have pHPT? - Normocalcemic pHPT vs secondary HPT - Post-op low calcium & high PTH—what’s happening? - Vitamin D supplements with high calcium—safe or not? - Negative imaging—can I still have surgery? - Thyroid nodules found along the way - Ionized vs total calcium - CKD, kidney stones, and more
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