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SYMPTOMS ADDRESSED BY BIOTIN INJECTIONS Biotin deficiency is rare but can manifest in the following symptoms: Thinning hair or significant hair loss Scaly red rashes around the eyes, nose, and mouth Conjunctivitis Depression, lethargy, or hallucinations Numbness and tingling in the extremities Deficiency can result from genetic conditions, prolonged use of anticonvulsants, excessive alcohol consumption, or chronic antibiotic use, which disrupt gut flora responsible for biotin synthesis