My cupcakes cost $25 per dozen for basic and $36 per dozen for custom decorations or timely piping/fondant work. I use scratch and doctored mixes as well. If someone wants only one dozen, I measure out the dry mix by weight and use half. The other half I store in a zip top bag.
Hypercalcemia is fairly common among patients receiving dialysis. Retention of phosphate among these patients promotes hyperparathyroidism, raising calcium levels. In addition, dialysis patients have lower concentrations of 1,25-dihydroxvitamin D levels and higher levels of resistance to fibroblast growth factor 23.
A small amount of calcium (about 6%) is complexed to anions such as citrate and sulfate. The remainder is ionized calcium that is biologically active. The most common causes of hypercalcemia, affecting 90% of all patients, are primary hyperparathyroidism (HPT) and malignancy. Other causes are summarized in Box 1. Box 1: Causes of Hypercalcemia