
I'm Not Sure If Anyone But An Endocrinoligist Can Answer



Different causes of hypercalcemia and hypepararthyroidism also is possible.
Detailed Answer:
Hello dear , welcome to Ask a doctor service.
I read your query and here is my advice.
I see the results of tests you attached. The calcium levels are high together with elevated liver enzymes.
The elevated calcium levels may be caused different causes, hypepararthyroidism, malignancy, vitamin D related, medications and other endocrine conditions.
Tell me if she is taking thiazide medications, lithium, calcium antiacids.
Even though she treated her thyroid with radioactive iodine her parathyroids are still there and there is a possibility of hypepararthyroidism.
Did she recently took too much of vitamin D supplements? This may be a reason.
She also has an impaired liver function.
Hope I have answered the question.
Let me know if I can assist you further

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