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Hypercalcaemia must be considered by calculation of adjusted calcium, and a careful history taken to assess dietary calcium intake and for the possibility of a malabsorption syndrome. 25\u2010hydroxyvitamin D (25<jats:styled-content style=\"fixed-case\">OHD<\/jats:styled-content>) should be measured and replaced if indicated. The management plan for the patient is influenced by the context in which calcium and <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content> were measured. 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