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Calcium and Parathyroid Hormone (PTH) Profile with Genetic Analysis (if applicable)

Published: August 9, 2026Updated: August 16, 2026

This test measures your blood levels of calcium and parathyroid hormone (PTH), along with optional genetic screening for variations that may affect calcium metabolism.

Quick summary

["Understanding your calcium and hormone balance helps manage bone health and prevent complications like osteoporosis or abnormal heart rhythms."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
21755-4
Short code
CACNA1A-CAG
Synonyms
CACNA1A gene CAG Rpt Bld/T Ql
Category
chemistry
Sample
whole-blood
Container
EDTA tube (lavender-top) for whole blood; sterile container for tissue specimen
Units
N/A
Ref low
4
Ref high
13
Critical range
— – 17 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
81228
SNOMED
410950007
Specimen volume
3-5 mL whole blood; 5-10 mg tissue
Stability
Whole blood: 7 days at 2-8°C; 1 month at -20°C; indefinitely at -80°C. Tissue: 24 hours at room temperature in sterile saline, longer storage at -80°C.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
168–720 hours
Order
routine

What This Test Measures

Calcium (Ca²⁺) is a mineral essential for nerve function, muscle contractions, and bone strength. PTH is a hormone produced by your parathyroid glands that regulates calcium levels in your blood. Together, these help maintain healthy mineral balance.

Why It Matters in Your Health

Abnormal calcium levels can lead to conditions such as kidney stones, muscle weakness, or irregular heart rhythms. PTH helps regulate these levels, so monitoring both can help prevent long-term health issues.

Common Reasons for Testing

Your doctor may order this test if you have symptoms like frequent bone pain, frequent urination, muscle spasms, or if you have a history of conditions like osteoporosis, kidney disease, or hyperthyroidism.

Sample Collection and Preparation

A blood sample is drawn from a vein in your arm. This test may also include optional genetic testing, which requires a separate blood sample or saliva sample for analysis.

Reference range

Normal: <13 CAG repeats (typical normal range 4-13). Intermediate (mutable normal): 13-17 repeats. Pathogenic expansion: ≥18 CAG repeats. Note: Allele sizes may vary slightly between laboratories; clinical correlation required.N/A

Specimen: whole-blood

No fasting required. Genetic counseling is recommended prior to testing. Informed consent should be obtained. Patient should be informed that results may have implications for family members.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

What does a normal result mean?
A normal result means your calcium and PTH levels are within expected ranges for your body, suggesting balanced mineral metabolism. However, genetic results may require further discussion with your healthcare provider if variations are detected.
How often should I get this test?
Your doctor will determine the frequency based on your health history, symptoms, and risk factors. Routine tests may not be necessary unless recommended for monitoring chronic conditions.
Can diet or supplements affect this test?
Yes, calcium-rich foods, vitamin D supplements, or certain medications can influence your calcium and PTH levels. Your doctor may advise timing your test around dietary changes to get the most accurate results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy