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High doses of pantothenic acid have been reported to compete with biotin uptake in the intestines (because they share a transport mechanism)
Clinicians will typically try standard prenatal vitamins or oral supplementation first, resorting to IM/IV B-complex therapy if those are inadequate or not feasible
[5] Pantothenic acid (vitamin B, provided as dexpanthenol) is a building block of coenzyme A, a critical coenzyme in the Krebs cycle and fatty acid oxidation
[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients
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Some B-Complex injections add B, but others (like the one you have) focus on the other five and omit B
