Manage episode 293498656 series 2931768
In my interview with Dr. Deva Boone from the world-renowned Norman Parathyroid Center we discuss the connection between hyperparathyroidism and osteoporosis and why it's important to rule out this cause of bone loss.
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3:57 - Who is Dr. Deva Boone?
6:30 - Parathyroid glands. What they are. How they work.
8:10 - The distinct types of hyperparathyroidism. Primary hyperparathyroidism vs. Secondary hyperparathyroidism.
10:10 - Calcium and the body
11:13 - How to identify if you have hyperparathyroidism
13:15 - You can have a normal PTH and high calcium and have hyperparathyroidism
14:28 - You can have labs within the “normal” reference ranges but you may still need a second opinion
16:12 - Low vitamin D levels. Most parathyroid patients have this. Low Vitamin D with high blood calcium is often times a parathyroid problem.
19:24 - Parathyroid hormone (PTH) stimulates the conversion of inactive Vitamin D (25hydroxyvitamin D) to active Vitamin D (1,25-dihydroxyvitamin D).
19:49 - If your blood calcium is high, and vitamin D is low, don’t take more vitamin D. Check your PTH first and rule out hyperparathyroidism.
20:30 - High calcium and high PTH indicates parathyroid disease.
21:18 - Parathyroid hormone (PTH) levels explained.
22:15 - The diagnosis is based on labs and not imaging studies
23:27 - What imaging is used for identifying parathyroid tumors. Sestamibi scan, CT scan, ultrasound explained.
25:32 - You find out you have parathyroid disease. What are your next steps? What does the process look like?
26:46 - When will I feel better post surgery? What changes will you notice?
28:17 - Commonly asked questions or concerns from parathyroid patients. Distal forearm DEXA. Your bones can rebuild after removing a parathyroid tumor.
30:48 - If you let it go untreated, it can lead to bone loss.
31:44 - Symptoms of hyperparathyroidism (tired, brain fog, poor sleep)
33:47 - How you can get in touch with Dr. Deva Boone and the Norman Parathyroid Center (see resources section of show notes as well)
35:12 - Forteo, Tymlos and high calcium.
Find all resources mentioned and show notes @
Music from https://filmmusic.io "Werq" by Kevin MacLeod https://incompetech.com)License: CC BY (http://creativecommons.org/licenses/by/4.0)
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