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High TSH - High levels of TSH are typically caused by an underactive thyroid or hypothyroidism. This is typically caused by Hashimoto's thyroiditis. If you are already being treated for a thyroid disorder this can be a sign that you need to increase your medication.
In hyperparathyroidism, one or more of your parathyroid glands becomes overactive and makes excess PTH. This could be due to a tumor, gland enlargement, or other structural problems of the parathyroid glands. When your calcium levels are too low, your parathyroid glands respond by increasing the production of PTH. This causes your kidneys and intestines to absorb a larger amount of calcium.