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Biotin: Lab Test Warning, Food and How Much

Also known as vitamin B7, vitamin H, D-biotin, hair skin and nails vitamin

Short answer

Biotin (vitamin B7) is a B vitamin the body uses to process fats, carbohydrates and protein [1][3]. The adult Adequate Intake is 30 mcg a day, and deficiency is rare [1]. High-dose biotin can cause falsely high or falsely low lab results, including thyroid and heart tests [1][2]. Tell your doctor and the lab before blood tests.

Last reviewed · 3 sources

What is Biotin?

Biotin is a water-soluble B vitamin. It is a cofactor for five carboxylase enzymes that are key to the metabolism of fatty acids, glucose and amino acids, and it also has roles in gene regulation and cell signaling [1]. Most biotin in food is bound to protein and is freed during digestion. Most of the body's biotin is stored in the liver [1].

Forms of Biotin you'll see on labels

  • Biotin (free biotin)

    Oral free biotin is absorbed at 100%, even at doses up to 20 mg/day [1].

  • Biotin-only supplements

    Sold on their own, often promoted for hair, skin and nails [1].

  • B-complex and multivitamins

    Biotin is also in B-complex supplements and some multivitamin/mineral products [1].

How much Biotin do adults need?

NIH lists these Adequate Intakes (AI) for biotin; there was not enough data to set an RDA. Reference values, not a personal recommendation.

GroupAmount per day
Adults 19+ (men and women)30 mcg
Teens 14–1825 mcg
Pregnancy30 mcg
Lactation35 mcg

Upper limit: No UL has been set, because there is no evidence in humans that biotin is toxic at high intakes [1]. High intakes can still cause wrong lab test results [1][2].

How Biotin appears on a label

Biotin is listed in micrograms (mcg) or milligrams (mg); 1 mg equals 1,000 mcg. The Daily Value is 30 mcg for adults and children 4 and older [1]. So a 10 mg (10,000 mcg) product gives over 33,000% of the DV. Even a single 10 mg dose has interfered with thyroid function tests done within 24 hours [1].

When to take Biotin

NIH does not name a best time of day for biotin, and it does not say whether to take it with or without food. Timing matters most around lab tests: a single 10 mg dose has interfered with thyroid tests done within 24 hours [1]. Ask your doctor what to do before a blood test.

What to keep apart from Biotin

  • Lab tests (thyroid, troponin, other hormone tests, vitamin D)

    Tests that use biotin-streptavidin technology can give falsely high or low results [1]. The FDA continues to get reports of falsely low troponin results, a heart attack test [2]. Tell your doctor and the lab you take biotin.

  • Anticonvulsants (carbamazepine, primidone, phenytoin, phenobarbital)

    Long-term use is linked to lower biotin levels [1]. Ask your doctor or pharmacist.

  • Raw egg whites

    Avidin in raw egg white binds biotin and blocks its absorption. Cooking makes avidin inactive [1].

  • Alcohol

    Chronic alcohol use inhibits biotin absorption [1].

  • Multivitamins and B-complex

    These often contain biotin too, so check your total from all products [1].

Foods that contain Biotin

  • Beef liver
  • Eggs (cooked)
  • Salmon
  • Pork
  • Beef (hamburger)
  • Sunflower seeds
  • Sweet potato
  • Almonds

Who should ask a doctor or pharmacist first

Anyone having blood tests, especially thyroid or heart (troponin) tests, should tell their doctor and the lab about biotin [1][2]. People taking anticonvulsants should discuss biotin with their provider [1]. People with biotinidase deficiency need medical care [1]. Pregnant women: at least a third develop marginal biotin deficiency despite normal intakes, and its meaning is not yet clear, so ask your provider [1].

Keep Biotin in a routine that fits

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Biotin: questions people ask

Yes. High biotin intakes can cause falsely high or falsely low results on tests that use biotin technology, such as thyroid and troponin tests [1][2]. According to the FDA, a patient taking high-dose biotin died after a falsely low troponin result [1].

Ask your doctor. There is no set rule in these sources, but even a single 10 mg dose has interfered with thyroid tests done within 24 hours [1].

The Adequate Intake for adults is 30 mcg a day, and 35 mcg during breastfeeding [1]. Most people in Western countries get about 35–70 mcg a day from food [1].

NIH says hair, skin and nail claims are supported, at best, by a few case reports and small studies. The hair reports were only in children with a rare hair disorder [1].

No toxicity has been shown in humans, so no UL is set [1]. The main risk is wrong lab results [1][2]. The NHS says 0.9 mg or less a day from supplements is unlikely to cause harm [3].

Beef liver, eggs, salmon, pork, beef, sunflower seeds, sweet potato and almonds are among the best sources [1].

People with biotinidase deficiency, people with chronic alcohol use, and pregnant and breastfeeding women [1].

Yes. Biotin is also called vitamin B7 [3].

Sources

  1. Biotin: Fact Sheet for Health Professionals — NIH Office of Dietary Supplements
  2. Biotin Interference with Troponin Lab Tests - Assays Subject to Biotin Interference — U.S. Food and Drug Administration
  3. Vitamin B — NHS

Educational information, not medical advice. The amounts above are official reference values, not a recommendation for you. Check with your doctor or pharmacist before starting or changing supplements, especially if you take medication, are pregnant or have a health condition. Supin sells a subscription, not supplements. Last reviewed .

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