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Remember, hypER-parathyroidism is MUCH more common than hypOparathyroidism. Hypoparathyroidism is the state of decreased secretion or decreased activity of parathyroid hormone (PTH). This lack of PTH leads to decreased blood levels of calcium (hypocalcemia) and increased levels of blood phosphorus (hyperphosphatemia). There are no symptoms of too little parathyroid hormone other than the symptoms due to having a blood calcium that is too low.
The effect of this signaling of high extracellular calcium results in an intracellular calcium concentration that inhibits the secretion of preformed PTH from storage granules in the parathyroid gland. In contrast to the mechanism that most secretory cells use, calcium inhibits vesicle fusion and release of PTH.