<s>[INST] Hello doctor, I am concerned about my moderately-high calcium levels. I am in my late thirties, in excellent shape and play competitive sports. I am very careful about maintaining a clean diet. Over the past four years, I have had elevated glucose (a1c 6.3) and elevated serum calcium (fluctuating between 9.6 and 10.3). My latest serum calcium was 9.6, but I had a 294 mg 24-hour urine calcium level. My parathyroid and thyroid levels have always been in the normal range. Last year, I had a DEXA scan that showed clear signs of osteopenia. My doctor has not prescribed any treatment beyond Metformin. Is this sound advice? I am concerned that I am at risk for osteoporosis and kidney stones. [/INST] Hello. Hope you find my advice beneficial. Good luck. For further queries consult an endocrinologist online --> </s>