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Hyperparathyroidism occurs when one or more of your parathyroid glands produce an excessive amount of parathyroid hormone, which results in the rise of calcium levels in the blood. These glands are approximately the size of a grain of rice and are located behind the thyroid at the base of your neck. The parathyroid hormone helps maintain calcium in the blood and tissues that depend on calcium for proper function. In the early stages of the disease, symptoms are often absent. Your provider may recommend surgery to remove the hyperactive gland if you have more severe hyperparathyroidism symptoms, an enlarged parathyroid gland (or glands), or a growth on your parathyroid gland(s).