Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1 mg/dL above upper limit of normal • Osteoporosis or fragility fracture • Age < 50 years • Evidence of renal involvement (nephrolithiasis or nephrocalcinosis, 24h urine calcium > 400 mg/dL with increased stone risk, impaired renal function GFR < 60mL/min) Dominique Tomacruz, MD @DTomacruzMD #Parathyroidectomy #Indications #PHPT #endocrinology #management #Hyperparathyroidism