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Parathyroid hormone and magnesium: when “normal” is not always a good thing

This week, I’m at the 2009 national meeting of the American Society for Bone and Mineral Research in Denver, Colorado, learning about the most recent findings in bone research. I wanted to pass along an intriguing bit of information about magnesium deficiency and bone health.

If you’ve been following our work at the Center for Better Bones, you know that I often suggest clients be tested for both vitamin D and parathyroid hormone (PTH) levels. This is because low vitamin D levels can lead to high PTH, a condition that depletes bone.

Here’s how it works: when vitamin D is deficient, we cannot absorb enough calcium from our food to keep our blood calcium levels high enough to support our health. To achieve the necessary blood calcium level, the parathyroid gland releases PTH, which breaks down bone to release stored calcium for transfer into the blood. If this bone breakdown action continues over time, excessive bone loss can occur. In these cases, appropriate supplementation with vitamin D increases calcium absorption from food, which reduces the production of PTH. Normal PTH levels prevent excessive bone loss.

So when can a normal PTH level be a bad thing? When it’s caused by magnesium deficiency! People who are deficient in magnesium do not produce parathyroid normally even if their vitamin D levels are very low. I have seen such cases at the Center for Better Bones, where a person comes to me with low vitamin D status and yet has normal PTH.

In these cases, supplementing with vitamin D will help, but the magnesium deficiency needs to be addressed, too. Magnesium supports bone health on many levels, including stimulating the production of the bone-preserving hormone calcitonin and properly forming calcium crystals in bone. The best way to regulate production of PTH is by providing the body with the nutrients it needs to function well — especially vitamin D and magnesium. With ample nutrition, your body will naturally maintain healthy blood calcium levels while building strong bone — and your PTH will stay at a normal level for the right reasons!

 

 

We created the Osteo Blast blog as our forum to express opinions and educate the public about natural means of supporting and improving bone health and overall wellness. As part of this forum, we sometimes discuss medical issues and medications, and their effects on bone health in general. However, we cannot advise readers about specific medical issues in this forum. If you wish to obtain advice from Susan E. Brown, PhD, about your specific bone health and nutritional concerns, please visit our Consultations page. Other specific medical questions should be referred to your healthcare provider.

Comments

September 24. 2009 17:52

Hi, Just wondering if you agree with my doc that the magnesium, rbc test is the needed test, not the plain old magnesium test.  He tells me that the serum magnesium test is only low when you are really in bad shape....that since it's critical for the levels in your blood to be in a certain range, your body pulls magnesium from other tissue/cells.  Seems logical to me!

Geri

October 30. 2009 10:30

Geri,

Yes, I do agree with your doctor. The RBC test is the one you need. And as your doctor says, when the magnesium is low it pulls it from other places, most lkely your bones.
Best wishes

Susan Brown

January 23. 2010 22:36


I believe that I will work with Susan Brown and that soon the high parathyroid values will normalize.
I have read her articles, and am very encouraged.

marilyn beidler

March 26. 2010 14:52

I was told my several Doctors that you cannot regulate your High Parathyroid with Vitamin D.  You either have a tumor or have secondary hyperparathyroidism which is due from an absorbtion problem or Vitamin deficiency.

Deborah Parker

March 26. 2010 16:42

Dear Marilyn,
While the Better Bones program is a wholesome, natural approach to regaining bone health, high parathyroid (PTH) levels reflect a medical condition requiring medical supervision and often medical treatment.
Be sure to seek out and follow good medical advice and bring your PTH levels into the normal range.
Best wishes, Susan

Susan Brown

April 15. 2010 06:47

Good morning,

I have been seeing my doctor for years with the SAME SYMPTOMS that are only getting worse as she really is coming off completely careless and unconcerned. Joking that I may even be a hypochondriac. I started having Raynaud's syndrome a/b 5 years ago. Brain fog, memory disturbances, extreme fatigue, an unexplained blackout (I was driving, blacked out and hit a car), an unexplained fracture in the UPPER NECK OF MY FEMUR (I am very active, yes- but not enough to warrant that. My diet is very good-- my background is health/nutrition/wellness---I take very good care of myself. I know when something is not right-- -and something has not been right for a long time), etc. She finally ordered MRI's of 16 DIFFERENT LOCATIONS IN MY BODY. CBC came back fine, except for a positive ANA- only on the low end. My neck showed a "cyst at the right midline at the base of my tongue 3mm in size". I can't stop swallowing and feel something is there. Yesterday it was sore. A friend of mine thought I may want to check into the parathyroid. I am so desperate for answers now... I really think she may be on to something re: the paraythyroid. I've tried looking for experts on the subject, but can find no one reputable in the area. Only in FL, and they charge $750 even for a consultation fee. I've spent so much money alone on co-pays, etc.
I am writing to you today to see if you may have any thoughts?
Thanks so much...

Kimberly

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April 15. 2010 18:16


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