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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.
Vitamin D also is involved in regulating the amount of calcium in your blood. Normally, this balancing act works well. When calcium levels in your blood fall too low, your parathyroid glands secrete enough PTH to restore the balance. PTH raises calcium levels by releasing calcium from your bones and increasing the amount of calcium absorbed from your small intestine. When blood-calcium levels are too high, the parathyroid glands produce less PTH. But sometimes one or more of these glands produce too much hormone, leading to abnormally high levels of calcium (hypercalcemia) and low levels of phosphorus in your blood.