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Dx Calcium Deficiency Treatment: Read More...


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Observation:
Calcium Deficiency

The Merck Manual Home Edition states:
"Hypocalcemia most commonly results when too much calcium is lost in urine or when not enough calcium is moved from bones into the blood. Causes of hypocalcemia include the following:
* A low level of parathyroid hormone (hypoparathyroidism), as can occur when the parathyroid glands are damaged during thyroid gland surgery
* Lack of response to a normal level of parathyroid hormone (pseudohypoparathyroidism)
* No parathyroid glands at birth
* A low level of magnesium (hypomagnesemia), which reduces the activity of parathyroid hormone
* Vitamin D deficiency (due to inadequate consumption or inadequate exposure to sunlight).

Medications Used in Treatment:
1. Vitamin D Analogues
2. Anabolic steroids: Oxandrin
3. Vitamin D3: Oral or 50,000iu: Compounded. 1cc IM every 6 months.

Suggested Links:
*N.H.S. Choices

*Medscape

*[Editor] The best and cheapest source of vitamin D3 is liquid 2000IU/drop available from Biotics® as Bio-Emulsion-D Forte® for approximately $22.00. Taking 6000-8000IU will raise the blood level to an ideal range of 70-100ng/ml. Alternatively, a compounded presentation of 50,000iu/ ml as a 1ml injection every 6 months seems to give comparable levels.

*[Editor] Turner's syndrome (XO) has been treated with the anabolic steroid, oxandrin, and with human growth hormone. It is now the recommendation that treatment be continued past adolescence to prevent the increased risk of fractures and osteoporosis. Concurrently, "sex hormone replacement therapy is highly recommended".[Editor] Is Turner's Syndrome a menopausal disease in a adolescent and young adult? If so, should we not be treating the menopausal woman as aggressively as we do these children?

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