help maintain values within normal limits. Calcium and phosphorus have an inverse relationship. The Veteran initially had elevated phosphorus and decreased calcium. Calcium can be low 8.6-10.3 6.9 11.0 Calcium 8.7 8.9 9.1 due to insufficient mg/dL L H vitamin D levels, malabsorption, low albumin levels (albumin transports calcium), and failure. Calcium can be elevated due to hyperparathyroidism. Low levels of vitamin D can result from inadequate vitamin D intake, lack of exposure to sunlight, malabsorption, or kidney disease. A No No No No deficiency of vitamin Vitamin D, 32-100 21.6 New New New New D can cause 25-Hydrox ng/mL L Value Value Value osteomalacia and can contribute to osteoporosis. In the case of this Veteran, failing kidneys cannot effectively synthesize the active form of vitamin D, calcitriol. 50-170 16 No No No No Iron can be low due Iron ug/dL L New New New New to inadequate iron
help maintain values within normal limits. Calcium 8.6-10.3 mg/dL 6.9 L 8.7 11.0 H 8.9 9.1 Calcium and phosphorus have an inverse relationship. The Veteran initially had elevated phosphorus and decreased calcium. Calcium can be low due to insufficient vitamin D levels, malabsorption, low albumin levels (albumin transports calcium), and failure. Calcium can be elevated due to hyperparathyroidism. Vitamin D, 25-Hydrox 32-100 ng/mL 21.6 L No New Value No New No New Value No New Value Low levels of vitamin D can result from inadequate vitamin D intake, lack of exposure to sunlight, malabsorption, or kidney disease. A deficiency of vitamin D can cause osteomalacia and can contribute to osteoporosis. In the case of this Veteran, failing kidneys cannot effectively synthesize the active form of vitamin D, calcitriol. Iron 50-170 ug/dL 16 L No New No New No New No New Iron can be low due to inadequate iron