Hyperparathyroid UK (HPT UK)
Action4Change
It's NOT All About the Levels...
HPT UK A4C
It's Not

All About the Levels
Est. 02.09.2014
Scroll through our gallery for photos and comments from our members about improvements to quality of life after surgery, chosen to give hope about the benefits of surgery. Please do not give up after a negative clinical appointment, educate yourself about PHPT, and get a second opinion.
Parathyroid glands work like an automatic kettle
When calcium hits a certain level, parathyroid glands switch off
If they don't, a parathyroid surgeon must cut the power supply...
This image combined with Christina's pre op PTH & calcium levels are everything I've campaigned for the last eleven years.
This surgical outcome is evidence that a non suppressed relationship between calcium and parathyroid hormone in symptomatic patients indicates they should be considered as candidates for parathyroid surgery.
PHPT shouldn't be all about the calcium levels, yet the NG132 committee invented the figure 2.85 as the threshold for surgery. I advised NICE before they were published, that this figure would be very damaging and cause harm. Six years on, it is still causing harm, quoted by endocrine gatekeepers throughout the UK.
2.85 has no scientific justification and needs to be abolished from guidelines.
They say a picture can tell a thousand words...
Christina
'Hi, just to let you know I had my four gland exploratory surgery on Tuesday at UCLH.
Calcium pre-op was 2.54 PTH 5.8.
Tarek found one adenoma on the left with another next to it that had dropped down. Intraoperative testing of PTH showed it was still high, so they checked the other side, and found another top right. The fourth one was healthy.
Such amazing care at UCLH - recovering well at home.
Post op Calcium 2.3 PTH 0.6'

When Christina shared her surgery outcome photo in our group, and I saw her pre op levels, my instant response was to shout out, 'YES TAREK!!'
I imagined a huge roar of applause from our group members (approaching 4,700 June 2025), knowing they would feel the same immense gratitude and pride in Tarek Abdel-Aziz for operating on Christina, using IoPTH and performing a bilateral exploration. A perfect example.
Julie Varo
Twelve months post-op, and still feeling great. To all those still being fobbed off, my calcium levels were never overly high. Nothing showed on nuclear scans, just my PTH spiked twice on blood tests.
11 mm adenoma removed by Shad Khan on 14/10/23 and I'm back to climbing (small) mountains.
In February Julie shared with us; On a positive note: 18 weeks post-op and I've just returned from doing a 450 mile solo train trip to the lovely City of Glasgow (and walked 26,800 steps and its not a flat city!) which I would have never been able to do pre-op.
Yes I still have a few twinges and numbness in the operation area but the operation is worth the vast improvement in my health (physical and mental well-being). For those still awaiting diagnosis/operation: keep going, it's worth it in the end.

Sue Sharp
Today marks six months post surgery to remove a 2 cm adenoma. It took four years from diagnosis to surgery (thanks COVID), but I suspect many years of non descriptive symptoms prior to that.
Today my Calcium is down to 2.3, PTH in normal range. Apart from being 2 weeks post COVID, I feel great! My bone pain has gone, the severe gastritis has gone, my mood has lifted. I haven’t slept well since my op and had some weight gain which I’m hoping will improve now my thyroid medication has been tweaked.
But... It’s a journey, my outlook is better.
I have been so grateful for the care I have received, and the advice from this lovely group. I continue to have my bloods monitored. I have a bone scan next week to review my osteopenia. My endocrinologist has discharged me as cured of Primary hyperparathyroidism. Wishing all of you still suffering, and those recovering, a speedy end to your journeys. There is light at the end of the tunnel .
