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@grace_mercy Parathyroid is glandular tissue that helps makes use of vit d and calcium in a few ways. Test for parathyroid hormone is not part of regular labs but you can have low D, normal calcium, and high PTH which is labeled secondary hyperparathyroidism (closer to being a subacute...

@grace_mercy Vit D can be low due to parathyroid issues as opposed to dietary issues when very low. Could be worth asking about.