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Table 1 Laboratory variables during follow-up a

From: Hypoparathyroidism after Roux-en-Y gastric bypass - a challenge for clinical management: a case report

 

Total calcium (mg/dl)

Phosphorus (mg/dl)

25(OH)D (μg/L)

PTH (pg/ml)

Drugs used to manage calcium metabolism (dose/day)

Normal ranges

8.4 to 10.2

3.5 to 5.0

30 to 80

10 to 65

 

After RYGB and before TT

9.0

4.2

64.4

27.9

 

2 months post-TT

5.9b

7.1

Calcium carbonate (7.5g)

Calcitriol (2μg)

3 months post-TT

6.2b

6.8

76.6

7.1

Calcium carbonate

Calcitriol (2μg)

4 months post-TT

6.8b

6.8

16.4

Calcium citrate (12g)

Cholecalciferol (12,000IU)

Calcitriol (2μg)

6 months post-TT

7.2b

5.0

Calcium citrate (12g)

Cholecalciferol (12,000IU)

Calcitriol (2μg)

Pancrelipase (3 capsules/day)

8 months post-TT

7.8b

5.2

67.9

8.0

Calcium citrate (14g)

Cholecalciferol (12,000IU)

Calcitriol (2μg)

Pancrelipase (3 capsules/day)

14 months post-TT, pregnant second trimester

7.1b

5.2

49.2

5.9

Calcium citrate (14g)

Cholecalciferol (12,000IU)

Calcitriol (1.5μg)

Pancrelipase (3 capsules/day)

Last measurements

8.8b

5.1

34.8

Calcium citrate (18g)

Cholecalciferol (12,000IU)

Calcitriol (1.5μg)

Pancrelipase (3 capsules/day)

  1. a25(OH)D, 25-hydroxyvitamin D; PTH, Parathyroid hormone; RYGB, Roux-en-Y gastric bypass; TT, Total thyroidectomy. bTotal calcium was corrected by albumin levels.