Malignancy is one of the most common causes and must be excluded. Hyperparathyroidism and other causes of hypercalcemia can coexist with malignancy. If calcium levels have been mildly elevated for months or years, malignancy is an unlikely cause. Hypercalcemia from malignancy usually is rapidly progressive; thus, rapidly rising calcium levels should increase suspicion of malignancy.
Kailua-Kona on Hawaiiâs Big Island is the site of Kona Brewing Companyâs brewery and first restaurant. The brewpub opened in November 1998. Prominently featured ohia wood found throughout the pub came from South Kona.
Makalawena Beach, Hawaii. Hawaiiâs Big Island is home to Makalawena Beach, situated on the west coast in the Kekaha Kai State Park in Kalaoa Kona. The beach features white sand, lava rocks, palm trees, freshwater baths and a shallow saltwater lagoon filled with coral, providing snorkeling opportunities.