Do you mind if I ask how old your kitty is? What food is being fed? Is IBD a factor? I still wonder about high phosphorus foods such as Fancy Feast, and how that might affect hypercalcemia. There is also a higher incidence of calcium levels in CKD kitties;one theory is due to higher phosphorus levels: http://www.felinecrf.org/diagnosis_calcium_phosphorus_pth.htm#hypercalcaemia
Does anyone find it interesting that all these kitties had both hyperCa and GI issues? Hazel hasn't been on lactulose in two years but we continue to fight her elevated Ca with a biphosphonate, a diuretic, a steroid, and fluids. I'm so sick of this "no known cause" hypercalcemia that is going to steal my baby. I wish someone would find the cause. I wish I could find the cause!
Tanya's Website also cites Slippery Elm Bark as potentially raising calcium, which was a new one on me: http://www.felinecrf.org/treatments_regulation_minerals.htm#calcium
More info on hypercalcemia: http://www.2ndchance.info/dxme-Calcium.htm
I lost my beautiful Tiger to pancreatic cancer in July 2015. She was stage 2 CKD, and very early stages of IBD(according to her ultrasound) and was also diabetic. She was 17, prone to constipation, and bordered on the high side of normal calcium level. Prior to her diabetes and CKD diagnosis, I stupidly fed her dry food... My vet said we could check her ionised calcium, but I declined. I wish I had not declined that test.