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In this live Q&A, Dr. Jamie Mitchell—Medical Director of the Norman Parathyroid Center—answers real patient questions about parathyroid disease, hyperparathyroidism, and high calcium levels. He explains why imaging often fails, how symptoms like fatigue, brain fog, and kidney stones are overlooked, and why “normal” parathyroid hormone levels can still mean you’re sick. Key topics include: • Why you can still have hyperparathyroidism with normal scans • How high calcium impacts bones, kidneys, heart, and brain • Common mistakes doctors make (like waiting for symptoms to worsen) • The truth about vitamin D, Hungry Bone Syndrome, and thyroid nodules • Why surgery is the only true cure—and how to avoid failed first surgeries Learn more or request an expert consultation at https://www.parathyroid.com If you'd like to attend the next Facebook Live Q&A and ask Dr. Mitchell your questions, be sure to follow us on Facebook and Instagram @NormanParathyroidCenter #Hyperparathyroidism #ParathyroidDisease #HighCalcium #ParathyroidSurgery #NormanParathyroidCenter 00:01 Introduction and session overview 01:06 Common imaging tests for parathyroid disease 02:14 Diagnosis without imaging tests 02:45 What are parathyroid glands and calcium regulation 04:12 Effects of hypercalcemia and symptoms 05:51 Diagnosing hyperparathyroidism with labs and scans 06:55 Vitamin D role and misconceptions 09:01 Parathyroid adenoma cancer risk 10:35 Hyperparathyroidism with mildly elevated calcium 12:04 Causes, demographics, and surgery as cure 13:41 Recurrent disease and second surgery considerations 15:12 Parathyroid cysts and their significance 16:11 Indicators and kidney stones related to disease 16:44 Approach to reoperative surgery and imaging 18:13 Surgery safety in elderly patients 19:12 Hungry bone syndrome after surgery explained 22:48 When surgery is recommended despite normal labs 24:44 Why doctors may not take hyperparathyroidism seriously 26:33 Link between fragile X and hyperparathyroidism 27:03 Importance of experienced surgeons and risks 28:06 Thyroid nodules common with parathyroid disease 29:52 Osteoporosis diagnosis and next steps 30:23 Hypothyroidism unrelated to parathyroid surgery 31:23 Symptom improvement after surgery and conclusion