Dietary intake of calcium and vitamin D should be carefully monitored in a patient with asymptomatic hyperparathyroidism.


Recommended calcium intake: 1,000 to 1,200 mg per day (standard intake)


Diets with restricted or enriched calcium intake should be avoided.


If the serum 25-hydroxyvitamin D is < 20 ng/mL then consider careful vitamin D replacement with:

(1) 400 to 600 IU per day (physiological replacement dosage)

(2) regular calcium monitoring to detect hypercalcemia


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