Hyperparathyroidism Treatment: What Works, What to Avoid
When your parathyroid hormone, a key regulator of calcium in the blood, produced by the parathyroid glands goes haywire, your body starts pulling calcium from your bones and dumping it into your bloodstream. That’s hyperparathyroidism, a condition where one or more parathyroid glands make too much hormone, leading to high calcium levels. It’s not rare—about 1 in 1,000 adults get diagnosed each year, often after a routine blood test shows elevated calcium. Left unchecked, it can weaken bones, cause kidney stones, and even mess with your mood and memory.
The main culprit? Usually a benign tumor on one gland—called an adenoma. Less often, it’s all four glands growing too big (hyperplasia). In rare cases, it’s linked to genetic syndromes. But here’s the thing: primary hyperparathyroidism, the most common form, where the problem starts in the glands themselves doesn’t always need surgery right away. If your calcium is only slightly high and you’re not having symptoms like bone pain, fatigue, or frequent urination, your doctor might just watch and test you every 6 to 12 months. But if your calcium is over 1 mg/dL above normal, your bones are thinning, your kidneys are struggling, or you’re under 50, surgery becomes the go-to fix.
That surgery—removing the bad gland(s)—is called a parathyroidectomy. It’s one of the most successful procedures in endocrinology, curing over 95% of cases when done by an experienced surgeon. Recovery is quick: most people go home the same day. There are also newer, less invasive options now, like focused ultrasound or radiofrequency ablation, but those are still being studied and aren’t standard yet. Medications like cinacalcet can help lower calcium in people who can’t have surgery, but they don’t fix the root problem. And no, calcium supplements or vitamin D won’t fix this—sometimes they make it worse.
What you’ll find below are real, practical guides on how this condition is managed—from the latest surgical approaches to monitoring strategies and what to expect if you’re avoiding surgery. We’ve pulled together posts that cut through the noise and show you what actually works based on clinical evidence and patient experience. No fluff. No guesswork. Just clear, actionable info on how to handle hyperparathyroidism, whether you’re newly diagnosed or living with it long-term.