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First Test: High PTH, Normal Calcium Second Test: Normal PTH, Normal Calcium

I have been having increasing food intolerances, insomnia, irritability and such. My doctor tested my blood and found my pth was 96 but calcium was 9.1. Second test was ran and my pth was 38 calcium was 9.6. Over the past couple of years I have dealt with brain fog and having no energy through the day. She isn't pursuing hyperparathyroidism after the last test. Any ideas?
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Avatar universal
Then you need to take another 1000 IU it appears from your test result.
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I actually take 5000iu daily.
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B12 is adequate.  1000 IU of D3 daily would likely get your D above 50.
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B12:722
Range 239-931

D:44.2
Range 30-80
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Avatar universal
Your TSH level does not seem to indicate the possibility of Hashimoto's Thyroiditis.  If testing needed, those are Thyroid Peroxidase antibodies (TPO ab) and Thyyroglobulin antibodies (TG ab).

Vitamin D should be at least 50.  B12 should be in the upper part of the range.  
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Avatar universal
Thanks for the help. I will get those tests done. Also, I heard about one test for Hoshimotos. They test antibodies in your blood. My B12 and D levels were tested and at adequate levels.
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Avatar universal
First, TSH is a pituitary hormone that is affected by so many things that at best it is only an indicator, not a diagnostic.  Further, symptoms and levels of the biologically active thyroid hormones Free T4 and Free T3 are far better indictors of your thyroid status.  So, having a TSH result within the range does not preclude hypothyroidism.  Assuming that only a high TSH indicates hypothyroidism overlooks central hypothyroidism.  With central there is a dysfunction in the  hypothalamus/pituitary system that results in inadequate stimulation of the thyroid gland.  So you need to test for both Free T4 and Free T3, every time you go in for tests.  

A good thyroid doctor will treat a hypothyroid patient clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptoms, without being influenced by resultant TSH levels.  Symptom relief should be all important, not just test results.  If your doctor is unwilling to treat clinically, as described, then you will ultimately need to find a doctor that will do so.

So the first thing you need to do is to get tested for Free T4 and Free T3. If you will get those done and then post results and reference ranges shown on the lab report, we will be glad to help interpret and advise further.  If possible it would also be good to test for Vitamin D, B12 and ferritin, since hypo patients are so frequently deficient in those areas as well.
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Avatar universal
The biggest thing I deal with is insomnia, ibs, brain fog.

Results: TSH, 3rd Gen mIU/L
Value: 2.59
Standard Range .47-4.68
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Avatar universal
From my understanding the PTH test varies a lot and is not totally reliable as a diagnostic.  I'd say that your calcium test results were more revealing, and they were not indicative of a hyperparathyroid problem.  "Brain fog" and fatigue are more often related to hypothyroidism.  So please post your thyroid test results and reference ranges shown on the lab report.  
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Avatar universal
I'm not sure I have been. I'm wondering why it would be elevated one test and then drop the next? Wouldn't someone with normal parathyroid be around the same level everytime? Can something cause your pth to rise and lower? I was ten points over the norm and then dropped 60 points.
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1 Comments
My thyroid test was normal. I'm wondering why it would be elevated one test and then drop the next? Wouldn't someone with normal parathyroid be around the same level everytime? Can something cause your pth to rise and lower? I was ten points over the norm and then dropped 60 points.
Avatar universal
From those test results Is can understand your doctor no longer pursuing hyperparathyroidism.  Have you been tested for the possibility of thyroid issues?
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