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sometimes addressing factors like hormonal imbalances, thyroid levels, or nutritional deficiencies (iron, zinc, etc.) will be more impactful than biotin alone
There are also other manifestations of pemphigus, induced by IgG against multiple cytoplasmic plakin proteins, and even variants of pemphigus mediated by IgA Abs
The mean normal serum level in healthy adults is approximately 33 ng/mL
