23rd May 2025

A 49-year-old female has recently been diagnosed with primary hyperparathyroidism after routine blood tests showed an elevated serum calcium level, increased intact parathyroid levels, and elevated alkaline phosphatase.

A 49-year-old female has recently been diagnosed with primary hyperparathyroidism after routine blood tests showed an elevated serum calcium level, increased intact parathyroid levels, and elevated alkaline phosphatase. Her past medical history includes type 2 diabetes and hypertension for which she takes Metformin and Ramipril. She remains asymptomatic. Her latest renal function shows a creatinine clearance of 55 mL/min. DEXA scan was normal with a T score of +1.

How best would you manage this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.