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Hormone Tests

Parathyroid Hormone (PTH)

PTH (parathyroid hormone) controls calcium levels in the blood. It is made by four small glands in the neck.

Normal range (adults)
15–65 pg/mL (1.59–6.9 pmol/L)
Sample
Blood
Fasting
Not usually needed
Also called
PTH, Intact PTH, iPTH, Serum PTH

Parathyroid Hormone normal range

Group pg/mLConventional units: US, South Asia pmol/LSI units: UK, Europe, Australia, international
Adults15–651.59–6.9

Your report may use either unit system; labs in the Gulf often print both. Ranges also vary slightly between laboratories, so the range printed on your own report is the one to go by.

Why is the Parathyroid Hormone test done?

It is checked when calcium is abnormal, in kidney disease and in vitamin D deficiency.

What does a high Parathyroid Hormone level mean?

A high PTH is most often the body's response to low vitamin D or kidney disease. If calcium is also high, it suggests an overactive parathyroid gland.

Common causes

  • Vitamin D deficiency (very common)
  • Chronic kidney disease
  • Low calcium intake
  • Primary hyperparathyroidism

Diet and lifestyle tips

  • Correct vitamin D deficiency: sunlight, oily fish, eggs, supplements as advised
  • Eat calcium-rich foods unless your calcium is already high
  • Drink plenty of water

What does a low Parathyroid Hormone level mean?

A low PTH is usually seen when calcium is high from another cause, or after neck surgery.

Common causes

  • High calcium from other causes
  • After thyroid or parathyroid surgery
  • Low magnesium

Diet and lifestyle tips

  • Follow your doctor's calcium and vitamin D advice

When should you see a doctor?

PTH is always read together with calcium and vitamin D.

Last updated

This page is for general education and is not a diagnosis. Normal ranges differ between laboratories, so always compare your result with the reference range printed on your own report, and discuss abnormal results with your doctor.