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Biotin (Vitamin B7)
Test CodeVITB7
CPT Codes
84591
Preferred Specimen
2 mL Serum from an SST or Red Top Tube
Minimum Volume
1 mL
Instructions
Allow sample to clot for 30 minutes. Centrifuge and transfer serum to an amber vial to protect from light.
Transport Container
Amber vial
Transport Temperature
Frozen
Specimen Stability
Room Temperature: Unacceptable
Refrigerated: 7 Days
Frozen: 14 Days
Refrigerated: 7 Days
Frozen: 14 Days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Not light protected, room temperature sample, hemolysis, lipemia
Methodology
Microbiological Assay
Report Available
4 days
Clinical Significance
Sometimes the vitamin is used in weight reduction programs. It may be prescribed as a supplement for diabetic patients due to its role in carbohydrate metabolism. Biotin is commonly found in vitamin B complex and many food sources, such as milk, yeast, egg yolk, cereal, and mushrooms. The reference daily intake [RDI of 101.9(c) (8) (IV)] for vitamin B7 is 300 micrograms. Deficiency in the vitamin may result in seborrheic dermatitis, alopecia, myalgia, hyperesthesia, and conjunctivitis. Disorders of biotin metabolism can be acquired or congenital. Biotinidase and holocarboxylase synthethase deficiency are the two better known forms of disorders. The lack of biotin-dependent pyruvate carboxylase, propionyl-CoA carboxylase, methylcrotonyl-CoA carboxylase, and acetyl-CoA carboxylase can lead to the life-threatening disorder of multiple carboxylase deficiency. Treatment involves a daily dose of approximately 10 mg biotin/day. Irreversible mental or neurological abnormalities may result from delayed clinical intervention.
Performing Laboratory
BIOAGILYTIX DIAGNOSTICS
1320 Solders Field Rd
Boston, MA 02135
PH: 617-456-0800
CLIA: 22D0926993
Laboratory Director: Natalie Smith, PHD, HCLD (ABB)