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Firstly the Review was based on research papers that were very suspect and involved groups of individuals that did not represent a wide cross section of society (the primary study was of mainly elderly males)
Biotin Caution With Lab Tests March 03, 2025 Taking high-dose biotin can cause blood tests to show falsely high levels of testosterone and/or cortisol, as shown in recent cases
This is especially true if you have certain health conditions or dietary habits that put you at a higher risk for deficiency
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It should be used with extreme caution if you are taking prescription anticoagulants or antiplatelet medications (like warfarin or clopidogrel), as the combination can increase the risk of bruising and bleeding