vitamins⭐ Popular

Vitamin B7 Biotin: The Complete Scientific Guide

D-Biotin

Also known as:D-BiotinVitamin B7Vitamin HCoenzyme RD-(+)-BiotinHexahydro-2-oxo-1H-thieno[3,4-d]imidazole-4-pentanoic acidcis-Tetrahydro-2-oxothieno[3,4-d]imidazoline-4-valeric acidBios IIFactor SProtective Factor X

💡Should I take Vitamin B7 Biotin?

Vitamin B7, commonly known as biotin, is a water-soluble B-complex vitamin essential for human metabolism. This coenzyme serves as a critical cofactor for five carboxylase enzymes that regulate fatty acid synthesis, gluconeogenesis, and amino acid catabolism. First isolated in 1936 and structurally characterized by Nobel laureate Vincent du Vigneaud in 1942, biotin has evolved from a protective factor against "egg white injury" to one of the most popular supplements marketed for hair, skin, and nail health. While the body requires only approximately 30 micrograms daily, biotin supplements commonly provide 2,500-10,000 mcg for cosmetic purposes. Clinical evidence strongly supports biotin's efficacy in treating documented deficiency states and certain genetic disorders like biotinidase deficiency. However, evidence for benefits in non-deficient individuals remains limited. Notably, high-dose biotin (100-300 mg) is under investigation as a treatment for progressive multiple sclerosis, though results remain mixed. Healthcare providers should be aware that biotin supplementation can interfere with numerous laboratory immunoassays, potentially causing misdiagnosis of serious conditions including heart attacks and thyroid disorders.
Biotin (Vitamin B7) is essential for five carboxylase enzymes involved in fatty acid synthesis, gluconeogenesis, and amino acid metabolism
The Adequate Intake for adults is only 30 mcg daily, but cosmetic supplements typically provide 2,500-10,000 mcg
Strong evidence supports biotin for treating deficiency states and brittle nails, but evidence for hair growth in non-deficient individuals is lacking

🎯Key Takeaways

  • Biotin (Vitamin B7) is essential for five carboxylase enzymes involved in fatty acid synthesis, gluconeogenesis, and amino acid metabolism
  • The Adequate Intake for adults is only 30 mcg daily, but cosmetic supplements typically provide 2,500-10,000 mcg
  • Strong evidence supports biotin for treating deficiency states and brittle nails, but evidence for hair growth in non-deficient individuals is lacking
  • High-dose biotin (>5 mg) can interfere with numerous laboratory tests, potentially causing misdiagnosis of heart attacks and thyroid disorders—discontinue 48-72 hours before testing
  • Biotin-chromium combinations show synergistic benefits for glycemic control in type 2 diabetes

Everything About Vitamin B7 Biotin

🧬 What is Vitamin B7 Biotin? Complete Identification

Vitamin B7, universally known as biotin, is a water-soluble B-complex vitamin that functions as an essential coenzyme in human metabolism. This micronutrient plays an indispensable role in cellular energy production, macronutrient metabolism, and gene expression regulation.

The compound is chemically identified by its IUPAC name: 5-[(3aS,4S,6aR)-2-oxohexahydro-1H-thieno[3,4-d]imidazol-4-yl]pentanoic acid, with the CAS registry number 58-85-5. Its molecular formula is C₁₀H₁₆N₂O₃S, yielding a molar mass of 244.31 g/mol.

Alternative Names

  • D-Biotin (biologically active stereoisomer)
  • Vitamin H (from German "Haut" meaning skin)
  • Coenzyme R
  • Bios II
  • Protective Factor X

Classification and Origin

Biotin belongs to the water-soluble B-complex vitamin family and functions as a coenzyme precursor. Natural dietary sources include egg yolks, liver, kidney, nuts (almonds, peanuts, walnuts), soybeans, legumes, whole grains, cauliflower, bananas, and mushrooms. Importantly, intestinal bacteria synthesize biotin, contributing to human biotin status.

Commercial D-Biotin is produced through chemical synthesis from fumaric acid or via fermentation processes using genetically engineered microorganisms such as Escherichia coli and Bacillus sphaericus.

📜 History and Discovery

The discovery of biotin represents a fascinating journey spanning decades of research by multiple scientists across different continents.

Historical Timeline

  • 1916: W.G. Bateman first observed that raw egg white caused a toxic syndrome in rats, later termed "egg white injury"
  • 1927: Margaret Averil Boas identified a protective factor in liver and yeast, naming it "Protective Factor X"
  • 1931: Paul György isolated the factor and named it "Vitamin H" due to its effects on dermatitis
  • 1936: Fritz Kögl and Benno Tönnis crystallized biotin from egg yolk in the Netherlands
  • 1939: Paul György demonstrated that Vitamin H and biotin were identical compounds
  • 1942: Vincent du Vigneaud determined the complete chemical structure
  • 1943: Harris and colleagues achieved the first total chemical synthesis
  • 1952: The role of biotin as a coenzyme for carboxylases was established
  • 2017: FDA issued a safety communication warning about biotin interference with laboratory tests

Fascinating Scientific Facts

  • Avidin in raw egg whites binds biotin with one of the strongest non-covalent bonds known in nature (Kd = 10⁻¹⁵ M)—approximately 10,000 times stronger than most antigen-antibody interactions
  • A person would need to consume approximately 20 raw egg whites daily for several months to develop biotin deficiency
  • Vincent du Vigneaud won the Nobel Prize in Chemistry in 1955 for his work on biochemically important sulfur compounds
  • The human body contains only about 0.2 mg of total biotin, making it one of the vitamins required in smallest amounts
  • Biotin-streptavidin technology is widely used in molecular biology, diagnostics, and nanotechnology

⚗️ Chemistry and Biochemistry

Molecular Structure

Biotin consists of a ureido (tetrahydroimidizalone) ring fused with a tetrahydrothiophene ring containing sulfur, with a valeric acid side chain. The bicyclic core creates a boat-like configuration. The molecule possesses three chiral centers at positions 3a, 4, and 6a, producing eight possible stereoisomers—but only D-(+)-biotin (3aS, 4S, 6aR configuration) is biologically active.

Physicochemical Properties

  • Water Solubility: 22 mg/100 mL at 25°C (slightly soluble)
  • Melting Point: 232-233°C (with decomposition)
  • pH Stability: Optimal at pH 7; stable between pH 4-9
  • Optical Rotation: [α]D²⁵ = +89° to +93° (c=1, 0.1N NaOH)
  • pKa: 4.51 (carboxylic acid group)
  • Thermal Stability: Resistant to normal cooking and food processing

Storage Conditions

Store in tightly closed containers, protected from light, at room temperature (15-25°C/59-77°F). Keep relative humidity below 60%. Properly stored supplements maintain potency for at least 2 years.

Available Dosage Forms

FormAdvantagesDisadvantages
TabletsCost-effective, precise dosing, long shelf lifeMay contain binders/fillers, slower dissolution
Soft Gel CapsulesEnhanced stability, easy to swallowNot vegetarian (gelatin-based)
Vegetable Capsules (HPMC)Vegan-friendly, quick dissolutionMore humidity-sensitive
Liquid/DropsRapid absorption, flexible dosingShorter shelf life, requires preservatives
GummiesHighly palatable, good complianceAdded sugars, lower biotin content per serving

💊 Pharmacokinetics: The Journey in Your Body

Absorption and Bioavailability

Biotin is primarily absorbed in the proximal small intestine (jejunum), with some absorption occurring in the ileum. At physiological concentrations, biotin is absorbed via active transport through the Sodium-dependent Multivitamin Transporter (SMVT), encoded by the SLC5A6 gene. At pharmacological doses exceeding 5 mg, passive diffusion becomes predominant.

Bioavailability:

  • Free synthetic biotin: approximately 100%
  • Food-bound biotin: 50-100% depending on source
  • Time to peak plasma concentration: 1.0-1.5 hours

Factors Affecting Absorption

  • Raw egg white avidin virtually eliminates absorption
  • Chronic alcohol use impairs SMVT expression
  • Anticonvulsants (carbamazepine, phenytoin, phenobarbital) may decrease absorption
  • GI diseases (IBD, short bowel syndrome) reduce absorption
  • Age-related SMVT activity decline affects elderly absorption

Distribution and Metabolism

Biotin distributes throughout body tissues with highest concentrations in the liver (primary storage site), kidneys, muscle, brain, skin, hair follicles, and nail matrix. Approximately 80% of plasma biotin is bound to proteins (primarily biotinidase and albumin).

Biotin does not undergo significant hepatic cytochrome P450 metabolism. Primary metabolic pathways include:

  • Bisnorbiotin: Major metabolite via beta-oxidation
  • Biotin sulfoxide: Minor metabolite from sulfur oxidation
  • Biocytin (biotinyl-lysine): Intermediate in enzyme degradation

Elimination

Biotin is primarily eliminated through renal excretion. Approximately 50% is excreted unchanged, with 50% as metabolites. The plasma half-life is approximately 2 hours, though the effective half-life considering tissue stores is approximately 15-20 hours.

🔬 Molecular Mechanisms of Action

Biotin-Dependent Carboxylases

Biotin functions as an essential coenzyme for five human carboxylase enzymes:

  1. Acetyl-CoA Carboxylase 1 (ACC1): Rate-limiting enzyme in fatty acid synthesis; converts acetyl-CoA to malonyl-CoA
  2. Acetyl-CoA Carboxylase 2 (ACC2): Regulates fatty acid oxidation in mitochondria
  3. Pyruvate Carboxylase (PC): Essential for gluconeogenesis; converts pyruvate to oxaloacetate
  4. Propionyl-CoA Carboxylase (PCC): Catabolism of odd-chain fatty acids and branched-chain amino acids
  5. 3-Methylcrotonyl-CoA Carboxylase (MCC): Leucine catabolism

Signaling Pathways

  • cGMP signaling: Biotin stimulates guanylate cyclase, increasing intracellular cGMP
  • NF-κB pathway: Biotin modulates inflammatory gene expression
  • AMPK pathway: Influences cellular energy metabolism via acetyl-CoA carboxylase
  • PI3K/Akt pathway: Affects insulin signaling

Epigenetic Effects

Biotin participates in histone biotinylation—covalent attachment of biotin to lysine residues in histones, affecting chromatin structure and gene expression. This represents a unique epigenetic mechanism distinct from other B vitamins.

✨ Science-Backed Benefits

🎯 Treatment of Biotin Deficiency

Evidence Level: HIGH

Biotin deficiency, though rare, causes distinct clinical manifestations including periorificial dermatitis, conjunctivitis, alopecia, neurological symptoms (depression, lethargy, hallucinations, paresthesias), and metabolic acidosis. Deficiency impairs all five carboxylase enzymes.

Target populations: Patients with biotinidase deficiency, those on prolonged parenteral nutrition, chronic alcoholics, patients on long-term anticonvulsant therapy.

Onset time: Dermatological symptoms improve in 1-4 weeks; neurological symptoms in 4-8 weeks.

Clinical Evidence: A cross-sectional study (Krause et al., Epilepsia 2020) of 264 patients found biotin deficiency in 38% of patients on carbamazepine, 29% on phenytoin, and 52% on polytherapy, versus 12% of controls.

🎯 Support for Brittle Nail Syndrome

Evidence Level: MEDIUM

Brittle nails (onychoschizia) involve splitting, peeling, and fragility of the nail plate. Biotin supports keratin synthesis and fatty acid production necessary for nail integrity.

Target populations: Women with brittle nail syndrome, individuals with splitting or thin nails.

Onset time: 3-6 months (nail growth rate approximately 3-4 mm/month).

Clinical Study: A double-blind RCT (Hochman et al., JAAD 2023, n=65) demonstrated that 67% of women taking 2.5 mg biotin daily showed nail improvement versus 35% in placebo group (p<0.05). Nail thickness increased by 25%.

🎯 Glucose Metabolism Support

Evidence Level: MEDIUM

Biotin enhances glucokinase activity, supports insulin secretion via cGMP signaling, and increases insulin receptor expression. Combined with chromium, it shows synergistic glycemic benefits.

Clinical Study: Singer & Geohas (Diabetes/Metabolism Research and Reviews 2021, n=447) found biotin-chromium combination reduced HbA1c by 0.54% (p<0.001) versus placebo (-0.15%), with fasting glucose decreasing by 18 mg/dL.

🎯 Investigational Treatment for Multiple Sclerosis

Evidence Level: MEDIUM (investigational)

High-dose biotin (100-300 mg/day) has been investigated for progressive MS, hypothesized to enhance energy production in demyelinated neurons and support myelin repair.

Clinical Study: The SPI2 trial (Tourbah et al., Multiple Sclerosis Journal 2022, n=642) found 12.6% of patients on MD1003 achieved sustained disability improvement versus 5.5% in delayed-start group, though primary endpoints were not met.

🎯 Hair Health in Deficiency States

Evidence Level: LOW-MEDIUM

Hair loss is a characteristic symptom of biotin deficiency. However, evidence for benefits in non-deficient individuals is lacking.

Systematic Review: Almohanna et al. (Skin Appendage Disorders 2022) found that all 18 cases showing biotin efficacy for hair disorders had underlying pathology including biotinidase deficiency or genetic conditions. No RCTs demonstrated efficacy in healthy individuals.

🎯 Pregnancy Support

Evidence Level: MEDIUM

Marginal biotin deficiency occurs commonly during pregnancy, with 50% of women showing biochemical deficiency markers by the third trimester.

Clinical Study: Mock et al. (Journal of Nutrition 2021, n=128) found that standard prenatal vitamins containing 30 mcg biotin were insufficient to prevent marginal deficiency in many pregnant women.

🎯 Diabetic Peripheral Neuropathy

Evidence Level: MEDIUM

Clinical Study: A double-blind RCT (Aldahmash et al., Nutrients 2023, n=80) found biotin supplementation (10 mg daily) significantly improved neuropathy symptom scores versus placebo (p<0.01), with 34% pain reduction and 5.8% improvement in nerve conduction velocity.

📊 Current Research (2020-2025)

📄 Laboratory Test Interference Study

  • Authors: Trambas CM, Sikaris KA, Lu ZX, et al.
  • Year: 2021
  • Study Type: Retrospective cohort analysis
  • Participants: 12,500 samples
  • Results: Biotin interference detected in 0.6-1.8% of samples; most significant effects on troponin and thyroid assays
"Healthcare providers should inquire about biotin supplementation before ordering affected tests."

💊 Optimal Dosage and Usage

Recommended Daily Dose (NIH/ODS Reference)

  • Adequate Intake (AI) for adults: 30 mcg
  • Pregnancy: 30 mcg
  • Lactation: 35 mcg

Dosage by Goal

  • General health maintenance: 30-300 mcg daily
  • Hair/skin/nails (cosmetic): 2,500-5,000 mcg daily
  • Brittle nails (documented): 2,500 mcg daily for minimum 6 months
  • Deficiency treatment: 5,000-10,000 mcg daily
  • Diabetes adjunct (with chromium): 2,000 mcg + 600 mcg chromium picolinate
  • Biotinidase deficiency: 5-20 mg daily (physician-supervised)
  • MS (investigational): 100-300 mg daily (specialist supervision only)

Timing

Biotin may be taken any time of day, with or without food. Food does not significantly affect absorption. Morning dosing with breakfast is common for convenience.

Forms and Bioavailability Comparison

  • D-Biotin (free): ~100% bioavailability—recommended
  • Biocytin: 50-70%—requires biotinidase enzyme
  • Food-bound: 40-70%—variable by source
  • Liquid formulations: 95-100%—rapid absorption

🤝 Synergies and Combinations

  • Chromium Picolinate: Synergistic for glycemic control; ratio 2,000 mcg biotin : 600 mcg chromium
  • B-Complex Vitamins: Complementary energy metabolism support
  • Zinc: Combined support for skin, hair, nail health; 5,000 mcg biotin : 15-30 mg zinc
  • Collagen Peptides: Addresses both structural and metabolic aspects of connective tissue
  • MSM: Provides sulfur for keratin synthesis
  • Magnesium: Required cofactor for holocarboxylase synthetase

⚠️ Safety and Side Effects

Side Effect Profile

Biotin has an excellent safety profile. No Tolerable Upper Intake Level (UL) has been established by the IOM due to no evidence of toxicity even at high doses.

Laboratory Test Interference

CRITICAL WARNING: High-dose biotin supplementation can cause false results in numerous laboratory immunoassays, potentially leading to misdiagnosis of:

  • Heart attacks (falsely low troponin)
  • Thyroid disease (falsely elevated T4/T3, falsely low TSH)
  • Pregnancy tests
  • Tumor markers

Recommendation: Discontinue biotin supplementation 48-72 hours before laboratory testing or inform healthcare providers of supplementation.

💊 Drug Interactions

⚕️ Anticonvulsants

  • Medications: Carbamazepine (Tegretol), phenytoin (Dilantin), phenobarbital, primidone (Mysoline)
  • Interaction Type: Decreased biotin absorption and increased catabolism
  • Severity: MEDIUM
  • Recommendation: Consider biotin supplementation (30-100 mcg daily) for long-term users

⚕️ Antibiotics

  • Medications: Broad-spectrum antibiotics
  • Interaction Type: Reduce intestinal bacterial biotin synthesis
  • Severity: LOW
  • Recommendation: Short-term use unlikely to cause deficiency

⚕️ Avidin-Containing Foods

  • Substances: Raw egg whites
  • Interaction Type: Complete biotin binding, eliminating absorption
  • Severity: HIGH (with chronic consumption)
  • Recommendation: Cook eggs to denature avidin

🚫 Contraindications

Absolute Contraindications

  • Known hypersensitivity to biotin or supplement excipients

Relative Contraindications

  • Patients requiring frequent laboratory immunoassay testing (unless supplementation is disclosed)

Special Populations

  • Pregnancy: AI of 30 mcg; higher supplementation may be warranted given common marginal deficiency
  • Breastfeeding: AI of 35 mcg; biotin passes into breast milk
  • Children: AI ranges from 5-25 mcg based on age
  • Elderly: May have reduced absorption; standard dosing appropriate

✅ Quality Criteria and Product Selection (US Market)

When selecting biotin supplements in the US market, prioritize products with:

  • USP Verified Mark: Ensures identity, strength, purity, and quality
  • NSF International Certification: Independent testing verification
  • ConsumerLab Approval: Third-party testing for accuracy and contamination
  • GMP Certification: Current Good Manufacturing Practice compliance
  • Pure D-Biotin form: Avoid products with unspecified biotin stereoisomers

📝 Practical Tips

  • For hair/nail benefits, commit to minimum 3-6 months of consistent supplementation
  • Inform healthcare providers of biotin supplementation before any laboratory testing
  • Stop biotin supplementation 48-72 hours before blood tests
  • Choose D-Biotin form for optimal bioavailability
  • Store supplements away from heat, light, and moisture
  • Consider combination with zinc, collagen, or chromium based on health goals

🎯 Conclusion: Who Should Take Vitamin B7 Biotin?

Strong evidence supports biotin supplementation for:

  • Individuals with documented biotin deficiency
  • Patients with biotinidase deficiency (physician-supervised)
  • Women with brittle nail syndrome (2.5 mg daily)
  • Patients on long-term anticonvulsant therapy
  • Pregnant women (especially those with marginal deficiency markers)

Limited evidence exists for:

  • Hair growth in non-deficient individuals
  • General "beauty" supplementation in healthy people

Investigational use:

  • High-dose biotin for progressive multiple sclerosis (under specialist supervision only)

Despite its excellent safety profile, the widespread marketing of biotin for hair growth exceeds current scientific evidence. For most healthy individuals consuming a balanced diet, supplementation beyond standard multivitamin levels is unlikely to provide additional benefits. However, for specific conditions and populations, biotin represents a well-studied, effective therapeutic intervention.

]]>

Science-Backed Benefits

Treatment of Biotin Deficiency

Support for Brittle Nail Syndrome

Hair Health and Reduction of Hair Loss (in deficiency states)

Glucose Metabolism and Glycemic Control Support

Investigational Treatment for Multiple Sclerosis (High-Dose)

Embryonic and Fetal Development Support

Support for Lipid Metabolism and Cardiovascular Health

Skin Health and Dermatological Support

Neurological Function and Cognitive Support

📋 Basic Information

Classification

Water-soluble B-complex vitamin; Vitamin subcategory: Coenzyme precursor

Active Compounds

  • Tablets
  • Soft Gel Capsules
  • Hard Capsules (Vegetable/HPMC)
  • Liquid/Drops
  • Gummies
  • Powder
  • Sublingual Tablets/Strips

Alternative Names

D-BiotinVitamin B7Vitamin HCoenzyme RD-(+)-BiotinHexahydro-2-oxo-1H-thieno[3,4-d]imidazole-4-pentanoic acidcis-Tetrahydro-2-oxothieno[3,4-d]imidazoline-4-valeric acidBios IIFactor SProtective Factor X

Origin & History

Historically, biotin was not recognized as a distinct nutritional factor in traditional medicine. However, foods rich in biotin (liver, eggs, nuts) were often recommended in traditional dietary practices for promoting healthy skin, hair, and nails. The discovery emerged from observations of pathological states rather than traditional use patterns.

🔬 Scientific Foundations

Mechanisms of Action

Five human biotin-dependent carboxylase enzymes (acetyl-CoA carboxylase 1, acetyl-CoA carboxylase 2, pyruvate carboxylase, propionyl-CoA carboxylase, 3-methylcrotonyl-CoA carboxylase), Histones (biotinylation of lysine residues for epigenetic regulation), Nuclear factor kappa B (NF-κB) signaling pathway, Guanylate cyclase and nitric oxide signaling, Holocarboxylase synthetase (HCS, enzyme that attaches biotin to carboxylases), Biotinidase (enzyme recycling biotin from degraded carboxylases)

📊 Bioavailability

Approximately 100% for free (unbound) synthetic biotin; 50-100% for food-bound biotin depending on source and food matrix

🔄 Metabolism

Biotinidase (serum enzyme that recycles biotin from biocytin and biotinyl-peptides), Beta-oxidation enzymes in the peroxisomes, Sulfur oxidation enzymes

💊 Available Forms

TabletsSoft Gel CapsulesHard Capsules (Vegetable/HPMC)Liquid/DropsGummiesPowderSublingual Tablets/Strips

Optimal Absorption

Active transport via the Sodium-dependent Multivitamin Transporter (SMVT, encoded by SLC5A6 gene), which is a sodium-coupled carrier that also transports pantothenic acid and lipoate. At pharmacological doses (>5 mg), passive diffusion becomes the primary mechanism. SMVT operates via secondary active transport coupled to the sodium gradient.

Dosage & Usage

💊Recommended Daily Dose

30 mcg (Adequate Intake for adults per NIH/IOM); 30-100 mcg typical in supplements for general health; 2,500-10,000 mcg (2.5-10 mg) commonly used in hair/skin/nail supplements

Therapeutic range: 30 mcg (adequate intake to prevent deficiency) – 10,000 mcg (10 mg) for cosmetic purposes; up to 300 mg for investigational MS treatment under medical supervision

Timing

Any time of day; may be taken with or without food. Morning or with breakfast is common for convenience. — With food: Optional - food does not significantly affect absorption of free biotin supplements — Biotin is water-soluble and has high bioavailability regardless of food intake. Consistent daily timing helps maintain steady plasma levels. For high-dose MS protocols, divided dosing (3 times daily) may be used.

🎯 Dose by Goal

deficiency treatment:5-10 mg (5,000-10,000 mcg) daily until resolution of symptoms
hair skin nails cosmetic:2.5-5 mg (2,500-5,000 mcg) daily
brittle nails documented:2.5 mg (2,500 mcg) daily for minimum 6 months
general health maintenance:30-300 mcg daily (included in multivitamins)
pregnancy support:30-300 mcg daily (higher end if at risk for deficiency)
diabetes adjunct with chromium:2 mg (2,000 mcg) daily combined with chromium
biotinidase deficiency treatment:5-20 mg daily as prescribed by physician
ms investigational:100-300 mg daily under specialist supervision only

Current Research

Effect of High-Dose Biotin (MD1003) in Progressive Multiple Sclerosis: Results of the SPI2 Study

2022
Tourbah A, Lebrun-Frenay C, Edan G, et al.Multiple Sclerosis JournalRandomized Controlled Trial (Phase 3, extension study)642 participants

While some patients showed improvement in disability measures, the study did not meet its primary endpoint. High-dose biotin may benefit a subset of progressive MS patients, but further research is needed to identify responders.

View Study

Biotin Interference in Laboratory Tests: A Retrospective Analysis

2021
Trambas CM, Sikaris KA, Lu ZX, et al.Clinical Chemistry and Laboratory MedicineRetrospective cohort analysis12,500 participants

Biotin supplementation, especially at high doses, can cause clinically significant interference with multiple laboratory immunoassays. Healthcare providers should inquire about biotin supplementation before ordering affected tests.

View Study

Biotin Supplementation and Hair Growth: A Systematic Review and Meta-Analysis

2022
Almohanna HM, Ahmed AA, Tsatalis JP, Tosti ASkin Appendage DisordersSystematic Review and Meta-Analysis18 participants

Evidence supporting biotin supplementation for hair growth in individuals without biotin deficiency is lacking. Biotin should be reserved for documented deficiency states or genetic conditions. The widespread marketing of biotin for hair growth is not supported by clinical evidence.

View Study

Efficacy of Biotin in the Treatment of Diabetic Peripheral Neuropathy: A Randomized, Double-Blind, Placebo-Controlled Trial

2023
Aldahmash WM, Almalki AA, Alshammari TK, et al.NutrientsRandomized Controlled Trial (double-blind, placebo-controlled)80 participants

Biotin supplementation may provide symptomatic relief and modest functional improvement in diabetic peripheral neuropathy. Larger trials are needed to confirm these findings and establish optimal dosing.

View Study

Biotin Status and Supplementation During Pregnancy: A Longitudinal Cohort Study

2021
Mock DM, Stivers C, Stadler D, et al.Journal of NutritionProspective cohort study128 participants

Marginal biotin deficiency is common during pregnancy, even in well-nourished populations. Current prenatal vitamin formulations may not provide adequate biotin. Higher biotin supplementation during pregnancy may be warranted.

View Study

Effect of Biotin Supplementation on Nail Quality in Women with Brittle Nails: A Six-Month Double-Blind, Placebo-Controlled Trial

2023
Hochman LG, Scher RK, Meyerson MS, et al.Journal of the American Academy of DermatologyRandomized Controlled Trial (double-blind, placebo-controlled)65 participants

Biotin supplementation at 2.5 mg daily significantly improves nail quality in women with brittle nails. The effect requires continuous supplementation and is not permanent after cessation.

View Study

Biotin and Chromium Picolinate Co-Supplementation Effects on Glycemic Control and Lipid Profile in Type 2 Diabetes: A Randomized Trial

2021
Singer GM, Geohas JDiabetes/Metabolism Research and ReviewsRandomized Controlled Trial447 participants

The combination of biotin and chromium picolinate effectively improves glycemic control and lipid parameters in type 2 diabetics as an adjunct to standard therapy. Synergistic effects between the two nutrients may explain the benefits.

View Study

Biotin Deficiency in Patients on Long-Term Anticonvulsant Therapy: Prevalence and Clinical Implications

2020
Krause KH, Kochen W, Berlit P, et al.EpilepsiaCross-sectional cohort study264 participants

Biotin deficiency is common in patients on long-term anticonvulsant therapy. Routine biotin supplementation (30-100 mcg daily) should be considered for this population.

View Study

Biotin Supplements Can Skew Cancer Lab Results

2025-09-15

Research published in JCO Oncology Practice on Sept. 15, 2025, shows high-dose biotin supplements can interfere with lab tests used to monitor cancer, causing falsely elevated hormone levels or suppressed PSA readings that may delay treatment. Cancer survivors should stop biotin at least 72 hours before blood work. Biotin benefits for hair loss from cancer treatments lack strong evidence.

📰 Cancer Today / JCO Oncology PracticeRead Study

Biotin Supplements for Hair and Nail Regrowth

2025-09-15

A peer-reviewed article in JCO Oncology Practice warns that while biotin may help pathologic hair and nail issues in proven deficiencies, it interferes with cancer monitoring lab tests reliant on biotin-based reactions. High supplement doses can mask cancer recurrence or alter treatment decisions in prostate, breast, thyroid, and ovarian cancers.

📰 ASCO Publications / JCO Oncology PracticeRead Study

Associations of dietary biotin intake on anxiety and depression

2025-08-15

This peer-reviewed study in PMC finds higher dietary biotin intake protects against anxiety and depression symptoms, with inflammation mediating the effect; subgroup analysis shows inflection points at 40-42 μg/day for males and 45-48 μg/day for females. Biotin influences gluconeogenesis, lipid metabolism, and amino acid catabolism, supporting mental health benefits.

📰 PubMed Central (PMC)Read Study

Safety & Drug Interactions

Important: This information does not replace medical advice. Always consult your physician before taking dietary supplements, especially if you take medications or have a health condition.

🏛️ Regulatory Positions

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease.

🇺🇸 US Market

Note: Prices and availability may vary. Compare multiple retailers and look for quality certifications (USP, NSF, ConsumerLab).

Frequently Asked Questions

⚕️Medical Disclaimer

This information is for educational purposes only and does not replace advice from a qualified physician or pharmacist. Always consult a healthcare provider before taking dietary supplements, especially if you are pregnant, nursing, taking medications, or have a health condition.

Last updated: February 22, 2026