A 66-year-old woman with osteoporosis and hyperparathyroidism

Maree is a 66-year-old woman who you have seen recently for fatigue and joint aches. You know her from occasional consultations over many years. She has felt more nonspecifically unwell in the past few months and is worried something is wrong with her health. On questioning, she reports no other specific symptoms. Her examination is normal apart from some asymptomatic osteoarthritis in her fingers. She is slightly overweight and not very fit. She takes no medications and is a lifelong nonsmoker and nondrinker. She has not had any blood tests carried out for several years.