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Vitamin B6 (Pyridoxine) Metabolite – Pyridoxal 5'-Phosphate (PLP) in Serum

Published: August 9, 2026Updated: August 16, 2026

This test measures the active form of vitamin B6, pyridoxal 5'-phosphate (PLP), in your blood. It helps assess whether your body has enough of this essential nutrient to function properly.

Quick summary

["PLP is a key vitamin B6 form that supports nerve function, red blood cell production, and metabolism."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
75042-2
Short code
Pyridoxal CSF-sCnc
Synonyms
Pyridoxal CSF-sCnc
Category
chemistry
Sample
csf
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
1-2 mL
Stability
Immediate analysis required, Refrigerated: 1h
Hemolysis max
200
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms like fatigue, nerve pain, or unusual mood changes that could be linked to vitamin B6 deficiency. It’s also sometimes checked in people with certain medical conditions, such as pregnancy, alcohol use, or certain medications that affect vitamin absorption.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm to draw a blood sample. If you’re on blood thinners, let your doctor know before the test.

What the Results Mean

Results help determine if your vitamin B6 levels are within a healthy range. Low levels may indicate a deficiency, while very high levels could suggest overconsumption or certain medical conditions.

Common Reasons for Testing

Doctors often check PLP levels in people with symptoms of vitamin B6 deficiency, such as nerve disorders, anemia, or unusual skin rashes. It’s also used in research or monitoring certain treatments that rely on vitamin B6 metabolism.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low PLP levels may signal a deficiency that could affect nerve function, immune health, or how your body processes other nutrients. High levels might indicate over-supplementation or underlying conditions like liver disease. Always discuss results with your healthcare provider to understand their full implications for your health.

Short name

PLP Level

Frequently asked questions

What causes low PLP levels?
Low PLP levels can result from poor diet (low vitamin B6 intake), certain medications (like anticonvulsants), alcohol use, or conditions that affect nutrient absorption (e.g., celiac disease). Pregnancy or rapid growth phases may also increase the body’s need for vitamin B6.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your doctor will contact you once they’re ready to review them.
Can I take vitamin B6 supplements if my PLP level is low?
Only follow your doctor’s advice about supplements. Taking too much vitamin B6 can sometimes cause side effects like nerve damage or digestive issues. They’ll guide you on the right amount to take, if needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy