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 alkaline phosphatase levels, initially suspected to be due to hypercalcemia of malignancy or hyperparathyroidism. However, it was discovered that her use of Viviscal, a hair loss product, was the cause. Viviscal has been shown to increase alkaline phosphatase in dermal papilla cells. After discontinuing the product, her alkaline phosphatase levels returned to normal. This case highlights the importance for clinicians to consider supplements as potential causes of elevated alkaline phosphatase 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 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 2 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 365 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.

community 21F AGA - 4 month hair growth progress (Minoxidil 5%, finasteride 1mg, theradome LLLT, viviscal vitamins, PRP twice)

in Progress Pictures 258 upvotes 3 years ago

A 21-year-old female shared her 4-month hair growth progress using Minoxidil 5%, finasteride 1mg, Theradome LLLT, Viviscal vitamins, and PRP treatments twice. Commenters praised her progress and discussed other treatments like microneedling, but she noted her dermatologist advised against it due to potential scalp damage.

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