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Primary Hyperparathyroidism

para>Thyroid and parathyroid glands

The thyroid is a butterfly-shaped gland in the middle of the neck. It sits just below the larynx (voice box). The thyroid makes two hormones, called triiodothyronine (T3) and thyroxine (T4), which control how the body uses and stores energy. The parathyroid glands are four small glands behind the thyroid. They make a hormone called parathyroid hormone, which helps control the amount of calcium in the blood.

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Thyroid and parathyroid glands

The thyroid is a butterfly-shaped gland in the middle of the neck. It sits just below the larynx (voice box). The thyroid makes two hormones, called triiodothyronine (T3) and thyroxine (T4), which control how the body uses and stores energy. The parathyroid glands are four small glands behind the thyroid. They make a hormone called parathyroid hormone, which helps control the amount of calcium in the blood.

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table 1Foods and drinks with calciumView Largetable 1Foods and drinks with calcium

Food

Calcium, milligrams

Milk (skim, 2 percent, or whole, 8 oz [240 mL])

300

Yogurt (6 oz [168 g])

250

Orange juice (with calcium, 8 oz [240 mL])

300

Tofu with calcium (1/2 cup [113 g])

435

Cheese (1 oz [28 g])

195 to 335 (hard cheese = higher calcium)

Cottage cheese (1/2 cup [113 g])

130

Ice cream or frozen yogurt (1/2 cup [113 g])

100

Soy milk (8 oz [240 mL])

300

Beans (1/2 cup cooked [113 g])

60 to 80

Dark, leafy green vegetables (1/2 cup cooked [113 g])

50 to 135

Almonds (24 whole)

70

Orange (1 medium)

60

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table 2Elemental calcium content per pill of different calcium supplementsView Largetable 2Elemental calcium content per pill of different calcium supplements

Elemental Ca/tablet

Ca compound

Vitamin D

Caltrate + D

600 mg

Carbonate

800 Units

OsCal 500

500 mg

Carbonate

OsCal 500 + D

500 mg

Carbonate

200 Units

Oscal 500 + Extra D

500 mg

Carbonate

400 Units

Oscal Ultra

600 mg

Carbonate

500 Units

Tums

200 mg

Carbonate

Tums EX

300 mg

Carbonate

Tums Ultra

400 mg

Carbonate

Citracal Ultradense Petites

200 mg

Citrate

250 Units

Citracal caplets + D

315 mg

Citrate

250 Units

Citracal 250 + D

250 mg

Citrate

200 Units

Citracal + D Slow Release

600 mg

Citrate

500 Units

Caltrate 600 + soy

600 mg

Carbonate

200 Units

Cal-100 with vitamin D

1000 mg

Carbonate

400 Units

Citracal gummy

250 mg

Tricalcium phosphate

250 Units

Viactiv plus D + K

500 mg

Carbonate

500 Units

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table 3Selected food sources of vitamin DView Largetable 3Selected food sources of vitamin D

Food

International units per serving

Cod liver oil, 1 tablespoon (15 mL)

1360

Salmon (sockeye), cooked, 3 ounces (85 g)

794

Mushrooms that have been exposed to ultraviolet light to increase vitamin D, 3 ounces (85 g) (not yet commonly available)

400

Mackerel, cooked, 3 ounces (85 g)

388

Tuna fish, canned in water, drained, 3 ounces (85 g)

154

Milk, nonfat, reduced fat, and whole, vitamin D-fortified, 8 ounces (240 mL)

115 to 124

Orange juice fortified with vitamin D, 8 ounces (240 mL) (check product labels, as amount of added vitamin D varies)

100

Yogurt, fortified with 20 percent of the DV for vitamin D, 6 ounces (180 mL) (more heavily fortified yogurts provide more of the DV)

80

Margarine, fortified, 1 tablespoon (15 g)

60

Sardines, canned in oil, drained, 2 sardines

46

Liver, beef, cooked, 3.5 ounces (100 g)

46

Ready-to-eat cereal, fortified with 10 percent of the DV for vitamin D, 6 to 8 ounces (227 g) (more heavily fortified cereals might provide more of the DV)

40

Egg, 1 whole (vitamin D is found in yolk)

25

Cheese, Swiss, 1 ounce (29 g)

6

In the United States, reference values are listed on food labels as a percentage of DVs (%DV), based on a 2000 calorie daily energy intake.


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