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[9] The FDA has reported cases where unrecognized biotin interference led to inappropriate medical decisions, such as a missed heart attack diagnosis in a patient who was taking high-dose biotin supplements

growth hormone, insulin analogs), vaccines, and other parenteral drugs before administering them

In that case, stop using the product right away (if its a topical, gently wash it off with cool water) and seek prompt medical attention

That often includes: Older adults who naturally absorb less B12 from food Vegans and vegetarians who dont eat enough B12-rich foods People with stomach or gut issues (like Crohns or coeliac disease) Those on long-term medication that affects absorption Busy people who feel drained all the time and cant explain why If you fall into one of these groups, injections might be worth considering