This post is by request from a comment.
I have a very short set piece concerning the indications for parathyroidectomy. There are 2 indications in Primary Hyperthyroidism – symptoms related to the hypercalcemia – "stones, groans, moans and broken bones" or significantly decreased bone density.
I leave secondary hyperparathyroidism decisions to the nephrologists – perhaps a nephrology reader can send me a paragraph to add to this post.


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I would also wonder when it’s best to be more proactive in order to PREVENT hyperparathyroid related osteoporosis.
Thank you for putting this up.
Would you refer to an endocrine surgeon for someone who doesn’t have an indication by your list?