
An overview of the interaction between calcium, phosphate, PTH, calcitriol, and calcitonin:
Physiology:
Calcium and phosphate metabolism is based on a balance between intestinal absorption, bone mineralization and demineralization, and urinary filtration and reabsorption. The major direct regulators of this balance (besides dietary intake) are parathyroid hormone (PTH) and 1,25 (OH)2-cholecalciferol (aka calcitriol), with a minor contribution from calcitonin.