Discontinuation of palopegteriparatide in chronic hypoparathyroidism without rebound hypocalcemia

Lars Rejnmark, Line Underbjerg · 2026

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Description

Lars Rejnmark and Line Underbjerg report what happened when a woman with chronic hypoparathyroidism stopped a long-acting hormone replacement drug. Her parathyroid glands had failed after thyroid surgery, leaving her unable to keep blood calcium steady. She had taken palopegteriparatide for more than four years. Earlier reports warned that stopping such therapy can trigger a hungry bone state, with calcium crashing and supplement needs soaring.

In her case, none of that happened. She returned to ordinary calcium and active vitamin D at doses much like those she used before the drug, and her vitamin D dose was later lowered because calcium ran high-normal. She stayed well, with normal calcium values through follow-up and no symptoms. The authors suggest some patients can safely move back to standard therapy after long treatment.

Catalog record

CREATORLars Rejnmark, Line Underbjerg
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE15 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13659921

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