Advanced hair health gummies — biotin-free. An especially thoughtful option for patients who need a biotin-free hair supplement — whether due to regular bloodwork, thyroid monitoring, or preference.
Biotin-free — won't interfere with thyroid panels or bloodwork.
Explore our most highly recommended Xtresse products.

Biotin-free daily gummy that delivers proven nutrients to feed follicles from within, with NAD+ for cellular-level hair health support.

Complete 3-month supply of biotin-free hair growth gummies for consistent, long-term support of hair follicle health and visible results.
We carry Xtresse at Manushka Aesthetics specifically because it offers a biotin-free alternative — an important distinction, since biotin can interfere with thyroid panels, cardiac markers, and other common lab tests. For patients who need regular bloodwork or prefer to avoid biotin, Xtresse provides a clinically sound option that fits into a personalized hair health plan.
Biotin (vitamin B7) can interfere with many common blood tests, including thyroid panels, cardiac markers, and hormone levels. Xtresse uses alternative, scientifically backed ingredients that support hair health without this risk — making it a safer daily option for patients who need regular lab work.
We recommend Xtresse because it fills a real gap in the hair supplement market. Many of our patients have thyroid conditions, are on medications requiring blood monitoring, or simply want to avoid biotin-related lab interference. Xtresse gives us a clinically credible option to offer alongside Nutrafol for patients who need a different approach.
Both are high-quality hair health supplements, but they work differently. Nutrafol targets root causes like stress and hormones with a multi-pathway approach. Xtresse focuses on cellular-level follicle health using a regenerative medicine-derived blend and is biotin-free. During your consultation, we'll help you determine which — or whether both — makes sense for your situation.
Individual timelines vary, but most patients begin noticing improvements in hair quality and reduced shedding within 3–6 months of consistent daily use.