Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have problems with low phospherous and normal calcium which is unusual for a.person with 3-1/2 parathyroids removed. I was working on my truck today and when I was finished I walked to.the sink to.wash my hands. I was extreamly tired and shaking and feel really really worn out in a very short prior of time. My heart rate went to 110 and I have a prickley feeling in my left hand and arm. I took phos-nak and hour earlier before this happened. I know you need more history so if you want me to write me please let me know.
[|AI|]  Hi, Yeah, there's a metabolic problem underlying this. Especially if others in the family have had this it is a kidney phosphate wasting disease. OR, it can be an abnormality of the parathyroid. Paradoxically when the situation with the parathyroid gets BETTER, the calcium and phosphorus PLUMMET. (hungry bone disease) it will have to be monitored. Hope I have answered your query. Let me know if I can assist you further.