Persistently Elevated Alkaline Phosphatase in an Older Woman with a History of Breast Cancer

October 2025 in “ Journal of the Endocrine Society ”

Madiha Fathima, Janice L Gilden

Viviscal alkaline phosphatase dermal papilla cells hypercalcemia hyperparathyroidism

TLDR Stopping Viviscal, a hair loss product, normalized the woman's elevated alkaline phosphatase levels.

An 80-year-old woman with a history of breast cancer and osteopenia experienced elevated serum alkaline phosphatase (ALP) levels, which were initially suspected to be due to hypercalcemia of malignancy or hyperparathyroidism. However, further investigation revealed that the use of Viviscal, a hair loss product, was the cause of the elevated ALP. Discontinuation of Viviscal led to normalization of ALP levels. This case highlights the importance for clinicians to consider supplements, such as hair growth products, as potential causes of elevated ALP levels.

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community Nizoral, Alpecin, Nioxin, Biolage, Viviscal. Shampoos

in Product 10 upvotes 2 years ago

The user tried various shampoos for thinning hair without clear results, except for Viviscal which noticeably thickened their hair. They noted that no shampoo can regrow hair and provided links to YouTube reviews for further information.

community Nutrafol Women’s Balance vs Viviscal Pro?

in Female 2 upvotes 1 month ago

OP experienced thicker hair and less shedding with Nutrafol Women’s Balance but had flushing due to ingredients, and is considering switching to Viviscal Pro with saw palmetto. A user shared that Viviscal increased shedding for both him and his girlfriend, and suggested stopping Nutrafol if the hair loss is due to Telogen effluvium.

community All in restoration Hair transplant from Dr Serkan in Turkey + topical fin/min Viviscal,biotin,sulfate free shampoo and Nizoral…very happy with results

in Progress Pictures 93 upvotes 3 years ago

A successful hair transplant with 3100 grafts combined with topical finasteride, minoxidil, Viviscal, biotin, sulfate free shampoo and Nizoral. People in the conversation talk about how the results look perfect and discuss the number of grafts and cost involved.

community Almost 1 year post op ….haven’t had this much hair since I was 18….regimen…topical fin/min viviscal…biotin…sulfate free shampoo/nizoral 3 times a week

in Progress Pictures 359 upvotes 2 years ago

User shared 1-year progress after hair transplant and regimen including topical finasteride, minoxidil, viviscal, biotin, and sulfate-free shampoo/nizoral. Users praised results and discussed application frequency and side effects.

community Update 7 months post op HT from Dr.Serkan Aygin 3100 total grafts…Topical Fin/Min + Men’s Viviscal,Biotin and it’s a 10 sulfate free shampoo mixed with Nizoral and I added donor area photos too this time. Enjoy and wish you the best.

in Transplants 53 upvotes 2 years ago

A 7-month update from Markoj44 regarding their hair transplant results, which includes the use of topical finasteride and minoxidil in combination with Viviscal, biotin, Nizoral shampoo, and donor area photos. People responded positively to the post.

community Am i too obsessed with hair loss prevention? And Is This obsession healty? Am i the only one? Look at my collection In This picture: Oral finasteride/ topical finasteride/ minoxidil 5% + tretinoin/ minoxidil 5%/ Alfatradiol 0.025%/Stemoxydine 5%/ dermapen/ketoconazole 1%/viviscal/procyanidin B2.

in Chat 49 upvotes 3 years ago

User obsessed with hair loss prevention shares collection of treatments, including oral and topical finasteride, minoxidil, dermapen, and more. Others suggest adding RU58841, laser helmet, and PRP, while some advise dropping certain treatments for long-term manageability.

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