Asked by Yavor Nachev on March 6, 2015
IAWParticipantIAW on March 7, 2015 at 6:16 am
You can keep checking back to see if anyone else has any thoughts but here are mine. I am neither a doctor nor scientist. I am a longtime member of the VDC.
First once “mildly elevated” calcium levels were found was the level ever checked again with the same results? Because something as simple as dehydration can cause elevated calcium.
I am thinking that the doctor is not trying regular Vitamin D because there is always worry that this may send your calcium levels even higher. I already knew what hypercalcemia is because as you know it can be caused by vitamin d overdose. It obviously can be caused by other things. So I read some more on the subject. You said that your PTH was “normal”. Have they also ruled out all of the following: Cancer (usually causes really high calcium levels), tuberculosis, sarcoidosis, Hodgkin’s lymphoma, immobility, certain medications (oddly enough the below website includes Vitamin A, I assume preformed not Beta Carotene), dehydration , and hereditary factors? This website http://www.acpinternist.org/archives/2012/03/hypercalcemia.htm also lists endocrine disorders, such as adrenal insufficiency, acromegaly, and pheochromocytoma. Also at this website it states “and other experts recommend calculating a corrected calcium level by using the values for both calcium and albumin”.
The VDC lists the following :
The symptoms of hypercalcemia include:
◾feeling sick or being sick
◾poor appetite or loss of appetite
◾feeling very thirsty
◾passing urine often
◾constipation or diarrhea
◾muscle weakness or pain
You listed your symptoms as “chronic fatigue (physical and mental) and lethargy – anxiety – muscle weakness – cognitive difficulties: poor memory and concentration, unable to perform complex mental work – sleep disturbance”. As far as I’m concerned all those symptoms could also fit into a magnesium deficiency (regular blood test will probably not detect), hypothyroidism and Lyme disease. I really do not know if any of those things can cause an “out of whack” calcium level. I do know that most people are magnesium deficient and should be supplementing. You may need between 500 – 700 mg a day.
Also you said your “thyroid test(s)” were normal. If they only did a TSH test, then you might not really be fine. If you have the results and want to post you can.
You are also correct in that a 25OHD-Vitamin D test is only going to measure Vitamin D and not the higher metabolite.
Maybe it’s time for a new doctor or at least a 2nd opinion.Answered by IAW on March 7, 2015 at 6:16 am