Patient/caregiver was instructed upon calcitonin and mechanism of action as follows:

  1. Calcitonin is a hormone produced by the c-cells of the thyroid gland, in response to elevated levels of serum calcium. Elevated levels of serum calcium stimulate synthesis of calcitonin from the thyroid gland.
  2. Calcitonin inhibits or slows down the resorption of bone, thus inhibiting the migration of calcium from the bone into the blood.
  3. Calcitonin also promotes renal excretion of calcium and phosphorus, thus helping to regulate elevated serum calcium towards optimal.
  4. Calcitonin also promotes bone formation, by increasing the deposition of calcium into the bone, thus contributing to a net increase in bone mass and a reduction in serum calcium levels.
  5. Thus, calcitonin, by various mechanisms, plays a significant role in reducing the excess serum calcium and helps maintain optimal levels of serum calcium.