Whether you accept it, avoid it or live somewhere in between, insurance coverage has become a defining issue for our profession. Patients increasingly expect to use their benefits, practitioners want to be compensated fairly for their time and expertise, and the system itself remains – at best – fragmented. The encouraging news is that coverage has expanded in meaningful ways. The challenging news is that reimbursement, across the board, remains inadequate.
Vitamins, Minerals and Dietary Supplements
Biotin
What is biotin?
Biotin is a water-soluble vitamin that belongs to the group of B vitamins. It is obtained not only by eating certain foods but is also produced by bacteria in the intestines. Since biotin is not stored in body fat, after the body uses what it needs, any excess is excreted in the urine.
Why do we need it?
Biotin plays a number of roles in the human body. Like the other B vitamins, it is essential for the metabolism of proteins and carbohydrates into energy. It is involved in the production of amino acid proteins and fatty acids, aids in the synthesis of hormones and cholesterol, and contributes to the growth of healthy skin and hair follicles.
How much biotin should I take?
Although no recommended daily allowances (RDA) have been established for biotin; however, most health experts generally agree on the following amounts:
- Adult men: between 30-100 milligrams/day
- Adult women: between 30-100 milligrams/day
- Children aged 7-10: 30 milligrams/day
- Infants: 15 milligrams/day
- Pregnant/lactating women: between 30-100 milligrams/day.
What are some good sources of biotin?
In addition to being produced naturally by the body, biotin can be found in a number of food sources. Among the best sources are eggs, milk, mushrooms, bananas, tomatoes, whole-grain cereals, nuts, yeast, broccoli, potatoes (white and sweet) and lean beef.
What can happen if I don't get enough biotin?
Biotin deficiency is almost unheard of; however, deficiencies can be caused by surgical removal of the stomach, or by being on an inadequate or unusual diet. Raw egg whites, for instance, bind biotin and make it unavailable for absorption. Alcohol and tobacco also decrease biotin absorption.
Biotin deficiency may lead to dermatitis, brittle nails and hair loss. Severe deficiency can lead to high blood cholesterol levels and heart problems.
What can happen if I take too much?
There is no evidence of toxicity with biotin. Because it is water-soluble and is not stored in the body, the chances of enough biotin building up to toxic levels are highly unlikely. Most people taking multivitamins with high levels of biotin or eating foods rich in amounts of biotin need not worry about toxicity.
References
- Drug information for biotin. Available from Intelihealth.
- Vitamins, carotenoids and phytochemicals. Available from WebMD.
- Feinstein A. Prevention's Healing with Vitamins. Emmaus, PA: Rodale Press, Inc., 1996.
- Kennedy R. Biotin. Doctor's Medical Library January 15, 1999.
- Zempleni J, Mock DM. Biotin biochemistry and human requirements. J Nutr Biochem 1999;10:128-38.
- Hochman LG, Scher RK, Meyerson MS. Brittle nails: responses to daily biotin supplementation. Cutis 1993;51(4):303-5.