Parathyroid Hormone (PTH)

A hormone that controls calcium balance and bone turnover.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Morning, 7 to 11am
best timing
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In short

Parathyroid hormone, or PTH, is made by four small parathyroid glands in your neck. It is the body's main controller of blood calcium. When calcium drops, PTH rises to release calcium from bone, hold on to calcium in the kidneys, and activate vitamin D.

This feedback loop keeps blood calcium steady. Because of that link, PTH is almost always read together with a calcium result.

Electrolytes & Hydration
Reviewed against DGKL reference practice.
Why it matters

Why test this?

A PTH test helps explain why calcium is high or low. High PTH with high calcium suggests overactive parathyroid glands (primary hyperparathyroidism). High PTH with low or normal calcium can reflect vitamin D deficiency or kidney disease, where the glands work harder to compensate.

Low PTH with high calcium points away from the parathyroid glands, for example toward some cancers. Reading PTH and calcium together is the key to telling these apart.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Ranges are guidance and vary by laboratory and assay.

GroupReference range (SI)
Adults (intact PTH)1.6 to 6.9 pmol/L

Roughly 15 to 65 pg/mL. Aligned to German laboratory practice (DGKL). Always interpret against your own lab's range.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • Why a calcium result might be high or low.
  • A signal that can point toward parathyroid, vitamin D, or kidney involvement.
  • A value your concierge reads alongside calcium and vitamin D to guide your personalized action plan.
What affects your level

What can affect this result?

What can skew the result

PTH shows a daily rhythm and can vary with the time of the draw. Low vitamin D raises PTH. Reduced kidney function, lithium, and some other medicines affect levels. Samples need careful handling, as delays can lower the result.

Best interpreted with

Always read together with calcium, and usually with vitamin D and phosphate.

How testing works

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay
Best timing
Morning, 7 to 11am
FAQ

Common questions

Included in these panels

Which Aniva panels include this marker?

Related biomarkers

Markers usually read alongside this one

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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