Self-management

Lifestyle and home remedies

If 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. Restricting dietary calcium intake is not advised for people with hyperparathyroidism. The Institute of Medicine recommends 1,000 milligrams (mg) of calcium a day for adults ages 19 to 50 and men ages 51 to 70. That calcium recommendation increases to 1,200 mg a day for women age 51 and older and men age 71 and older.

    The Institute of Medicine also recommends 600 international units (IUs) of vitamin D a day for people ages 1 to 70 and 800 IUs a day for adults age 71 and older. Talk to your doctor about dietary guidelines that are appropriate for you.

  • Drink plenty of fluids. Drink enough fluids, mostly water, to produce nearly clear urine 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.
May 19, 2017
References
  1. Primary hyperparathyroidism. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/endocrine-diseases/primary-hyperparathyroidism. Accessed Feb. 28, 2017.
  2. El-Hajj Fuleihan G. Pathogenesis and etiology of primary hyperthyroidism. http://www.uptodate.com/home. Accessed Feb. 28, 2017.
  3. About the parathyroid glands. American Association of Clinical Endocrinologists. http://www.empoweryourhealth.org/endocrine-conditions/parathyroid. Accessed Feb. 28, 2017.
  4. Ferri FF. Pericarditis. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Feb. 28, 2017.
  5. Abrams SA. Neonatal hypocalcemia. http://www.uptodate.com/home. Accessed Mar. 1, 2017.
  6. Jameson JL. Surgical management of hyperparathyroidism. In: Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, Pa.; Saunders Elsevier. 2016. http://www.clinicalkey.com. Accessed Feb. 28, 2017.
  7. Wilhelm SM, et al. The American Association of Endocrine Surgeons guidelines for definitive management of primary hyperparathyroidism. JAMA Surgery. 2016;151:959.
  8. Hypoparathyroidism and hyperparathyroidism. National Health Service. http://www.nhs.uk/Conditions/hypoparathyroidism-hyperparathyroidism/Pages/Introduction.aspx. Accessed Feb. 28, 2017.
  9. Hormone replacement therapy. Micromedex 2.0 Healthcare Series. http://www.micromedexsolutions.com. Accessed March 1, 2017.
  10. Smoking and bone health. NIH Osteoporosis and Related Bone Diseases — National Resource Center. https://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/Conditions_Behaviors/bone_smoking.asp. Accessed March 1, 2017.
  11. Calcium: Fact sheet for consumers. Office of Dietary Supplements. https://ods.od.nih.gov/factsheets/Calcium-Consumer/. Accessed March 1, 2017.
  12. Cinacalcet. Micromedex 2.0 Healthcare Series. http://www.micromedexsolutions.com. Accessed March 1, 2017.
  13. Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. March 4, 2017.