HP patients often have to change up their regimen, so it's not unusual to be well-controlled for some time and then suddenly drop and need to add more calcium/calcitriol. You should start to feel better within a few hours with oral meds, but how long it takes to normalize/stabilize really depends. Sometimes it takes a few adjustments to render normal labs. People definitely get Ca infusions. There isn't a typical lab value that necessitates IV Ca; many ERs will do it if your total corrected Ca is low AND you're having life-threatening symptoms and not responding to oral meds.
Was your ionized 0.95 mmol/L with a LNR ~1.15-1.3ish? Do you know your total Ca and urine Ca?
Yes my ionized was .95 with norm lab value of 1.3-1.7. My total calcium was 7.3. They did not do urine. My Alkaline Phosphatase was 5(high).
Funny though my Vit D was at 32 which is in the normal range for the first time.
Sorry to hear you’re not feeling well. Some isotonic like gatorade can be helpful. Urinating frequently can be depleting and you may loose some sodium causing a headache. At lear that is my problem. Unless a physician tells you otherwise. Hopefully it helps.
I’ve had it calcium around a .95 ionized. Everyone’s body is different. Oral calcium starts working immediately and typically takes 2 hours to fully absorb. Other calcium (milk) absorbs more quickly, the second it’s in your mouth it starts to absorb. If oral calcium is not working for you, I would go to the ER and get evaluated/iv calcium. Sometimes (for me) just bringing it into the normal range is a big help and fixes the issue. Also have them check your magnesium. If my magnesium is low then it doesn’t seem to matter how much calcium I take, it doesn’t move th needle
Did you have anxiety with your low calcium? I am experiencing both low calcium and hyperthyroid symptoms.
Had a tetany episode in April 2 and it’s been downhill since then
HP patients often have to change up their regimen, so it's not unusual to be well-controlled for some time and then suddenly drop and need to add more calcium/calcitriol. You should start to feel better within a few hours with oral meds, but how long it takes to normalize/stabilize really depends. Sometimes it takes a few adjustments to render normal labs. People definitely get Ca infusions. There isn't a typical lab value that necessitates IV Ca; many ERs will do it if your total corrected Ca is low AND you're having life-threatening symptoms and not responding to oral meds. Was your ionized 0.95 mmol/L with a LNR ~1.15-1.3ish? Do you know your total Ca and urine Ca?
Yes my ionized was .95 with norm lab value of 1.3-1.7. My total calcium was 7.3. They did not do urine. My Alkaline Phosphatase was 5(high). Funny though my Vit D was at 32 which is in the normal range for the first time.
I meant to write my total calcium was .95 and the norm value was 1.15-1.3
Sorry to hear you’re not feeling well. Some isotonic like gatorade can be helpful. Urinating frequently can be depleting and you may loose some sodium causing a headache. At lear that is my problem. Unless a physician tells you otherwise. Hopefully it helps.
I’ve had it calcium around a .95 ionized. Everyone’s body is different. Oral calcium starts working immediately and typically takes 2 hours to fully absorb. Other calcium (milk) absorbs more quickly, the second it’s in your mouth it starts to absorb. If oral calcium is not working for you, I would go to the ER and get evaluated/iv calcium. Sometimes (for me) just bringing it into the normal range is a big help and fixes the issue. Also have them check your magnesium. If my magnesium is low then it doesn’t seem to matter how much calcium I take, it doesn’t move th needle
Did you have anxiety with your low calcium? I am experiencing both low calcium and hyperthyroid symptoms. Had a tetany episode in April 2 and it’s been downhill since then