
Biotin
Hair-skin-nails products can contain biotin at doses far above ordinary nutritional intake, and high doses can interfere with certain laboratory immunoassays making some hormone, thyroid, or vitamin results appear falsely high or falsely low. That's analytical interference, not real biology. Include biotin whenever you report your supplement use, so results can be interpreted correctly.
Creatine
Creatinine is a byproduct of muscle metabolism, so creatine supplementation, higher muscle mass, recent training, and meat intake all raise it and can make calculated eGFR appear lower without any real decline in kidney filtration. The trend under consistent conditions, read against your broader metabolic picture, is what matters.
Topical Hormones
Testosterone or estrogen cream on or near the collection site can enter the sample directly and produce an artificially high result and transfer happens via hands, towels, clothing, bedding, or a partner. Before testing: scrub the site with soap and water, dry with a clean paper towel, and avoid applying topical hormones to the collection arm for at least 24 hours.
None of this means stop your supplements. It means tell your data the truth: use consistently, disclose what you take, and test under similar conditions.
