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Pyridoxal 5'-phosphate (PLP) concentration in serum/plasma

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

This test measures the active form of vitamin B6 (pyridoxal 5'-phosphate) in your blood. Vitamin B6 is essential for many bodily functions, including metabolism and nerve health.

Quick summary

["PLP helps support energy production and nerve function; low levels may indicate vitamin B6 deficiency."]

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

Key facts at a glance

LOINC
26915-9
Short code
Vit B6 Bld Ql
Synonyms
Vit B6 Bld Ql
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Is Pyridoxal 5'-phosphate (PLP)?

Pyridoxal 5'-phosphate (PLP) is the biologically active form of vitamin B6, a water-soluble vitamin that plays a key role in metabolism, red blood cell production, and nerve function. Your body converts dietary vitamin B6 into PLP for use in enzymes that help break down proteins, fats, and carbohydrates. It also supports the production of neurotransmitters like serotonin and dopamine, which are important for mood and brain function.

Why Might You Need This Test?

Doctors may order a PLP test if you have symptoms of vitamin B6 deficiency, such as fatigue, nerve pain, or unusual skin changes. It may also be used in research or clinical settings to assess vitamin B6 status in patients with certain metabolic disorders, neurological conditions, or those on specific diets.

How Is the Test Performed?

A blood sample is drawn from a vein, usually in your arm. The sample is sent to a lab where PLP levels are measured using an immunoassay method, which detects the presence of PLP in your serum or plasma.

What Do the Results Mean?

Results are typically reported as a concentration value (e.g., micrograms per deciliter). While reference ranges can vary by lab, low PLP levels may suggest vitamin B6 deficiency, while very high levels could indicate certain metabolic conditions or medication use. Your doctor will interpret results in the context of your overall health and symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low PLP levels may indicate inadequate vitamin B6 intake or absorption, which can lead to deficiencies affecting metabolism, nerve function, or red blood cell production. Conversely, excessively high levels may rarely be associated with metabolic disorders or certain medications. Monitoring PLP is particularly important for individuals with conditions like hemolytic anemia, epilepsy, or those on long-term vitamin B6 supplements.

Short name

PLP Blood Test

Frequently asked questions

What causes low PLP levels?
Low PLP levels can result from poor diet (low vitamin B6 intake), malabsorption issues (e.g., celiac disease), certain medications (e.g., anticonvulsants), or excessive alcohol consumption. Chronic kidney disease may also affect vitamin B6 metabolism.
What are the symptoms of vitamin B6 deficiency?
Symptoms of vitamin B6 deficiency may include fatigue, weakness, nerve pain or tingling, depression, or skin changes (e.g., cracked lips or skin rash). However, some people may not show symptoms until deficiency is severe.
How can I prevent vitamin B6 deficiency?
To maintain adequate vitamin B6 levels, eat foods rich in vitamin B6 such as whole grains, nuts, seeds, meat, fish, and fortified cereals. If you have a condition affecting absorption or are taking medications that deplete vitamin B6, your doctor may recommend supplements or dietary adjustments.
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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