Vitamin B7 (Biotin)
Likelihood in at-risk patientsLow
Likelihood of deficiency within an at-risk group, not the general population.
Evidence confidenceLow
Strength of the peer-reviewed evidence.
Food sources
Eggs, Nuts, Whole grains, Legumes
Typical intake: 30 mcg/day for most adults (AI).
Upper limit: No UL established. Note: high-dose biotin supplementation is a well-documented cause of falsely abnormal lab results (e.g. thyroid panels, troponin), worth asking about before ordering or interpreting bloodwork.
Dental & oral effects of deficiency
No well-established oral-specific sign of deficiency on file.
Associated with deficiency
- Biotin deficiency (rare): Dermatitis, hair thinning, conjunctivitis, and neuropathy; can occur with prolonged raw egg-white consumption or certain anticonvulsants.
Dental & oral effects of surplus / excess
No well-established oral-specific effect of excess intake on file.
Sources
- Biotin: Health Professional Fact Sheet. National Institutes of Health, Office of Dietary Supplements. NIH Office of Dietary Supplements, 2026.
- A Prescription for Change: Food as Medicine & the Vital Role of Nutrition in Patient Care. teethFirst. Continuing education course material, 2025.