<prompt> Treatment of parathyroid hyperplasia is:Phosphate bindersCalcitoninRemoval of 3 12 glandsEnlarged glands to be removed  <response>: TREATMENT OF PRIMARY HYPERPARATHYROIDISM Initial correction of hypercalcemia Rapid IV normal saline followed by Forced diuresis with furosemide Neck exploration is done and treatment is done accordingly A single parathyroid adenoma 85 Resection Two adenomas 5 Resection Hyperplasia of all four glands 10-15 Resection of 3 12 glands or Resection of all four glands With Parathyroid auto transplantation - into Brachioradialis of non-dominant arm PARATHYROID AUTO TRANSPLANTATION Whenever multiple parathyroids are resected, it is preferable to cryopreserve tissue, so that it may be autotransplanted Approx. 12-14 pieces of 1 mm are transplanted into the nondominant forearm in belly of brachioradialis muscle 