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Vitamin B6 (Pyridoxal 5-Phosphate) Measurement

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

This test measures the amount of vitamin B6 in your body, usually by checking the level of its active form, pyridoxal 5-phosphate (PLP), in your blood. It helps your care team see whether you have too little or too much vitamin B6.

Quick summary

["A vitamin B6 test helps identify a deficiency or excess of this essential nutrient, which can cause nerve and blood problems when levels are abnormal."]

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

Key facts at a glance

LOINC
47203-5
Short code
Vit B6 Dose
Synonyms
Vit B6 Dose
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Vitamin B6 Does

Vitamin B6, also called pyridoxine, is a water-soluble vitamin your body needs for many everyday functions. It helps process proteins and carbohydrates, supports red blood cell formation, and plays a role in normal nerve and brain function. Because your body does not store much of it, you need a steady supply from food.

Why Your Provider May Order It

Your healthcare provider may order this test if you have symptoms that could point to low or high vitamin B6, such as numbness or tingling in the hands and feet, unusual fatigue, or certain types of anemia. It may also be checked if you take vitamin B6 supplements, have a condition that affects nutrient absorption, or use medicines that can change vitamin B6 levels.

How the Sample Is Collected

The test is usually done on a blood sample drawn from a vein in your arm. In some cases, your provider may ask for a urine sample instead. Preparation instructions vary, so follow any directions you are given about fasting or holding supplements before the test.

Understanding Your Results

Results are generally interpreted as low, normal, or high compared with the laboratory's own range. A low level can suggest a deficiency, while a high level may reflect supplement use or another cause. Because reference ranges differ between laboratories and the testing method matters, ask your provider to explain what your specific result means for you.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Vitamin B6 is important for nerve function and red blood cell production, so levels that are too low or too high can cause meaningful symptoms. Deficiency may lead to skin changes, anemia, or nerve problems, while excessive intake—often from high-dose supplements—can also cause nerve damage. Test results are always interpreted alongside your symptoms, diet, supplement use, and other laboratory findings, and they help guide whether treatment or changes to supplementation are needed.

Short name

Vitamin B6

Frequently asked questions

Do I need to fast or stop taking vitamins before this test?
It depends on the instructions from your provider and laboratory. Some tests ask you to avoid vitamin supplements for a period beforehand, and fasting may or may not be required. Follow the specific preparation instructions you are given, and tell your provider about all supplements and medications you take.
Can taking vitamin B6 supplements affect my result?
Yes. Taking vitamin B6, especially in high doses, can raise your measured level and sometimes cause unusually high results. Let your provider know about any supplements you use so the result can be interpreted correctly.
What happens if my vitamin B6 level is abnormal?
Your provider will consider your result together with your symptoms, diet, and other tests. A low level may be addressed with dietary changes or supplements, while a high level may prompt a review of supplement use. Any treatment plan should be discussed with your healthcare provider rather than decided from a single test result.
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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