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The lower PTH may also guide early supplementation of calcium and all the serious hypocalcemia patients had PTH lower than the stop of 6 pg/ml. A PTH and calcium-based protocol can be efficiently used for very early release of thyroidectomy clients the day after surgery without calcium supplementation. The compliance of this patient for very early release had been good.A PTH and calcium-based protocol are effortlessly used for very early discharge of thyroidectomy clients