I think it matters at what PTH you are starting at. Clearly, if the patient has a very high PTH, i.e., >1200, it is hard to bring it down to less than 300 without causing an increased risk of low turnover bone. However, I believe we should treat these patients as early as possible and aggressivel...
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at Valley Nephrology Associates Would bone-specific alkaline phosphatase, or even ...
at U Chicago I do check bone alk phos, though it is sometimes h...