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Lifestyle and home remedies
By Mayo Clinic staffIf you and your doctor have chosen to monitor, rather than treat, your hyperparathyroidism, the following suggestions can help prevent complications:
- Monitor how much calcium and vitamin D you get in your diet. Limit your intake of calcium to about 1,000 to 1,200 milligrams a day and your intake of vitamin D to about 400 to 600 international units a day. Talk to your doctor about dietary guidelines that are appropriate for you.
- Drink plenty of water. Drink six to eight glasses of water daily to lessen the risk of kidney stones.
- Exercise regularly. Regular exercise, including strength training, helps maintain strong bones. Talk to your doctor about what type of exercise program is best for you.
- Don't smoke. Smoking may increase bone loss as well as increase your risk of a number of serious health problems. Talk to your doctor about the best ways to quit.
- Avoid calcium-raising drugs. Certain medications, including some diuretics and lithium, can raise calcium levels. If you take such drugs, ask your doctor whether another medication may be appropriate for you.
References
- Rodgers SE, et al. Primary hyperparathyroidism. Current Opinion in Oncology 2008;20:52.
- The American Association of Clinical Endocrinologists and the American Association of Endocrine Surgeons position statement on the diagnosis and management of primary hyperparathyroidism. Endocrine Practice. 2005;11:49.
- Hyperparathyroidism. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.endocrine.niddk.nih.gov/pubs/hyper/hyper.htm. Accessed March 23, 2009.
- El-Hajj Fuleihan G. Clinical manifestations of primary hyperparathyroidism. http://www.uptodate.com/home/index.html. Accessed March 23, 2009.
- Taniegra ED. Hyperparathyroidism. American Family Physician. 2004;69:333.
- Bringhurst FR. Hormones and disorders of mineral metabolism. In: Kronenberg, HM, et al., eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/127508547-4/0/1555/168.html#4-u1.0-B978-1-4160-2911-3..50029-7--p1224. Accessed March 23, 2009.
- Dietary supplement fact sheet: Vitamin D. National Institutes of Health Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/VitaminD_pf.asp. Accessed March 24, 2009.
- Dietary supplement fact sheet: Calcium. National Institutes of Health Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/Calcium_pf.asp. Accessed March 24, 2009.
- Phosphorus. Foods Standards Agency (UK). Accessed March 25, 2009.
- Wuthrich RP, et al. The role of calcimimetics in the treatment of hyperparathyroidism. European Journal of Clinical Investigation. 2007;37:915.
- Silverberg SJ, et al. Management of asymptomatic primary hyperparathyroidism. http://www.uptodate.com/home/index.html. Accessed March 23, 2009.
