PTH Test Price in Pakistan: PKR 2,310 at Marham Lab
Also called
PTH testParathyroid hormoneIntact PTHiPTHParathormoneAn intact PTH test costs PKR 2,310 at Marham Lab, down from PKR 3,300. MedlinePlus states providers usually order a calcium blood test alongside PTH, because the result is interpreted as a pair. High PTH with high calcium suggests a gland problem, while high PTH with low calcium usually means the glands are responding correctly to something else, such as vitamin D deficiency.
Labs offering the Intact Parathyroid Hormone (iPTH) test
| Lab | Price | Book |
|---|---|---|
Marham LabOur lab Home sample · Lahore | Rs. 2,310 Rs. 3,300 | |
Serum Intact Parathyroid Hormone (iPTH) Home sampleNext day | Rs. 3,040 Rs. 3,800 |
How booking works
1. Tap Book
Intact Parathyroid Hormone (iPTH) is added to your booking for you.
2. Pick a time
Give your address in Lahore and choose a collection day and time.
3. Sample at home
A phlebotomist comes to your address and takes the sample.
4. Get your report
Your report is ready in the time shown above, and you can see it in your Marham account.
What is the Intact Parathyroid Hormone (iPTH) test?
Parathyroid hormone is made by four pea-sized glands in your neck. MedlinePlus explains that PTH controls the level of calcium in your blood, and that when calcium falls too low the parathyroid glands release just enough PTH to bring it back to normal. At Marham Lab an intact PTH test costs PKR 2,310.
Always Book Calcium With It
This is not optional advice, it is how the test is interpreted.
MedlinePlus states that because the amount of PTH in your blood changes with the amount of calcium, your provider will usually order a calcium blood test along with a PTH test, and that comparing both results is what shows whether your parathyroid glands are working properly.
A high PTH with a high calcium means something completely different from a high PTH with a low calcium. Without the calcium value, the PTH number cannot be placed. Check that [calcium](/labs/tests/calcium-test-price) at PKR 525 is on the same form, and add it if it is missing.
How PTH Raises Calcium
MedlinePlus describes three routes:
- Telling your bones to release calcium into your blood
- Helping your intestines absorb calcium from food
- Helping your kidneys keep calcium in your blood rather than losing it in urine
When blood calcium returns to normal, the glands stop making PTH and the level falls again.
Reading the Pair
MedlinePlus sets out the combinations, and the names on your report follow from them.
| PTH | Calcium | What it is called and what it suggests |
|---|---|---|
| High | High | Primary hyperparathyroidism. A problem in the parathyroid glands themselves is making too much PTH |
| High | Low | Secondary hyperparathyroidism. The glands are working correctly, making extra PTH to try to raise calcium, and something outside them is the problem |
| Low | Low | Hypoparathyroidism. The glands cannot make enough PTH. Less common than hyperparathyroidism |
Primary hyperparathyroidism is most often caused by a benign tumour in one of the glands, called a parathyroid adenoma, which MedlinePlus names as the commonest cause of high PTH. Other causes it lists are hyperplasia, meaning the glands have become enlarged, rare inherited conditions such as multiple endocrine neoplasia type 1, and parathyroid cancer, which is rare.
Secondary hyperparathyroidism points away from the glands. MedlinePlus lists low vitamin D, phosphate or magnesium; not getting enough calcium; digestive disorders such as malabsorption that make it hard to absorb calcium from food; and kidney failure causing calcium loss through urine.
Vitamin D deficiency heading that list matters in Pakistan, where it is common and where [vitamin D](/labs/tests/vitamin-d-test-price) is frequently the correctable cause rather than anything wrong with the glands themselves.
Hypoparathyroidism causes MedlinePlus lists include damage to the glands from neck surgery or radiotherapy, certain autoimmune disorders, genetic disorders such as DiGeorge syndrome, serious illness, and getting too much vitamin D or calcium from supplements or from antacids containing calcium.
What It Is Used For
Symptoms That Lead to This Test
Most people reach a PTH test through an abnormal calcium result rather than symptoms. MedlinePlus lists the symptoms of both directions.
High calcium: constipation, nausea and vomiting, abdominal pain, loss of appetite, increased thirst, urinating more than usual, kidney stones, bone, joint and muscle weakness, aches and pains, fatigue, and changes in mental health such as depression or confusion.
Low calcium: dry skin, coarse hair and easily broken nails after a long period, muscle cramps, spasms or stiffness, tingling in the lips, tongue, fingers and feet, irregular heartbeat, and seizures if levels are extremely low.
How to Prepare
MedlinePlus states you probably will not need special preparation but advises checking with your provider, since some providers ask you to fast, and you may need to take the test at a certain time of day.
Ask both questions when booking rather than assuming. If a specific time was requested, home collection in Lahore makes it easier to meet.
What Happens During the Test
Final Thoughts
Common questions
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