Table 1.

Main biochemistries before and after parathyroid surgery.

	Pre-operative	Post-operative (1 day)	Post-operative (2 weeks)	Post-operative (4 months)	Post-operative (8 months)
Parathyroid Hormone (14-72 pg/ml)	1518	89	72.4	87	38.3
Serum Calcium (8.6 -10.2 mg/dl)	17.9	12.3	6.7	8.6	9.6
Serum Phosphate (2.5-4-5 mg/dl)	0.9	1.1	1.9	2.8	3.1
Creatinine (0.67-1.17 mg/dl)	1.08	–	0.92	0.67	0.74
Alkaline Phosphatase (40-129 UI/L)	273	-	234	161	118
Treatment	Hydration (3 L IV/day) Furosemide (20 mg tid) Zoledronate (4 mg IV once)	–	Calcitriol (From 0.5 mcg tid) Calcium (From 3 g/day)	Calcitriol (0.5 mcg/day)	–

Concomitant medications to treat hyper- and hypocalcemia are reported.