Among patients with #PrimaryHyperparathyroidism without baseline end-organ damage, 32% developed osteoporosis, kidney stones, fractures, or chronic kidney disease during follow-up, indicating progression under usual care. ja.ma/3VeFjpe

📣 Special Communication: In #PrimaryHyperparathyroidism, imaging should be reserved for after biochemical diagnosis, and #Ultrasonography is the preferred first study because it involves no ionizing radiation.

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