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Reply to "High calcium levels and supplementation"
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[quote=Anonymous][quote=Anonymous]What about albumin level? Isn’t that part of the equation when determining the true calcium level?[/quote] The older method for assessing for hyperparathyroidism was to incorporate the albumin level and "correct" the calcium level. Also, ionized calcium levels were used. This has not been my experience today with my endocrinologist nor my endocrine surgeon. Both looked a serum calcium and didn't need albumin or ionized calcium to diagnose. I had normo-hormonal PHPT. I did not have any complicating diagnostic factors like kidney disease or stomach absorption problems. Maybe in more complicated cases it is used, but my impression is not even in those. [/quote]
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