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Do you recommend any specific testing for patients with recurrent nephrolithiasis and suspected absorptive hypercalciuria?

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Mednet Member
Mednet Member
Nephrology · Mayo Clinic

I would consider genetic testing in this situation, although it would not alter my recommendations for diet and thiazide diuretic treatment. I would also look for primary hyperparathyroidism. Counterintuitively, parathyroid hormone increases absorption of urinary calcium; that’s why HPT patients are...

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Mednet Member
Mednet Member
Nephrology · Medical College of Wisconsin

I agree with the comments by Drs. @Dr. First Last and @Dr. First Last, but I would also add that the treatment trial demonstrating the benefit of adequate dietary calcium (at least 1,000 mg daily with meals) in preventing calcium oxalate stone recurrence in hypercalciurics did not distinguish betwee...

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