Kindly explain the management for low calcium in a thyroid patient?

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Is it possible you can do histopathology of thyroid gland to rule out? You have many metabolic disorders that you need correction (attachment removed to protect patient identity).

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Yes, he has hypocalcemia. I have seen his report (attachment removed to protect patient identity). You have to use Calcium with Thyroid medicine. His TSH hormone is high that means he have low thyroxine. It is better you can chek T4 level too. Yes, calcium level is related with parathyroid hormone level. However, decreased calcium is some time related with deficiency of calcium in diet. Currently, must needed medicine is tablet Zecal MAX / calcium D3 1 tablet OD for 1 month. Reduced calcium level is asaociated with much more seasure we call it tetany (not tetanus). I think you can start Thyronorm/Thyroxin up to 2.1 mcg/kg. Tablet Thyronorm 25 mcg one tablet OD continue in empty stomach. If it looks like he is not taking calcium well then, start the tablet Calcium with D3.

Valporine also causes hypocalcemia. Decrease level of calcium. If there is no history of recurrent hypocalcemia then wait for 20 days. Take calcium then test calcium report. If again, calcium is low then check parathormone.