Had a patient using these
The risk is greatest among infants who are fed formula low in biotin, people taking antiepileptic medications, infants with Leiners disease or people who are genetically predisposed to deficiency ( Untreated biotin deficiency can cause neurological symptoms, such as seizures, intellectual disability and loss of muscle coordination ( Deficiency has also been reported in animals fed high amounts of raw egg whites
Patients taking Zepbound who develop recurrent infections should undergo hemoglobin A1c testing to assess glycemic control, as even modest elevations in blood glucose can predispose to Candida overgrowth
Seiler A, Schneider M, Frster H, Roth S, Wirth EK, Culmsee C, Plesnila N, Kremmer E, Rdmark O, Wurst W et al (2008) Glutathione peroxidase 4 senses and translates oxidative stress into 12/15-lipoxygenase dependent- and AIF-mediated cell death