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Pyridoxal 5'-phosphate (PLP) 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. It helps assess whether your body has enough vitamin B6 to function properly.

Quick summary

["PLP levels can indicate vitamin B6 status and potential deficiencies."]

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

Key facts at a glance

LOINC
39786-9
Short code
Vit B6 SerPl-sCnc
Synonyms
Vit B6 SerPl-sCnc
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

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms of vitamin B6 deficiency, such as nerve problems, anemia, or unusual skin changes. It may also be used to monitor vitamin B6 levels in people taking supplements or those with certain medical conditions that affect vitamin metabolism.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for a few hours before the blood draw, but this depends on your provider’s instructions. Bring any medications or supplements you’re taking to your appointment.

How the Test Works

A small sample of blood is drawn from a vein in your arm. The blood is then sent to a lab where it is analyzed to measure the amount of pyridoxal 5'-phosphate in your serum or plasma.

What the Results Mean

Results are compared to reference ranges for healthy individuals. Low levels may suggest a vitamin B6 deficiency, while higher levels might indicate over-supplementation or certain metabolic conditions. Your provider will discuss these results with you in the context of your overall health.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low pyridoxal 5'-phosphate levels can indicate a vitamin B6 deficiency, which may lead to neurological issues, anemia, or weakened immune function. Conversely, very high levels might suggest excessive vitamin B6 intake or rare metabolic disorders. This test is particularly useful for monitoring patients on vitamin B6 supplements or those with conditions like pregnancy, alcoholism, or certain genetic disorders.

Short name

PLP Level

Frequently asked questions

What causes vitamin B6 deficiency?
Vitamin B6 deficiency can result from poor diet (low intake of foods like fortified cereals, meat, or poultry), certain medications (like anticonvulsants), alcoholism, or malabsorption issues. Chronic kidney disease or pregnancy may also increase the need for vitamin B6.
What symptoms might I experience if my PLP levels are low?
Symptoms of low pyridoxal 5'-phosphate levels may include fatigue, weakness, nerve damage (tingling, numbness, or pain), skin changes, depression, or anemia. However, some people may not show symptoms until the deficiency is severe.
How is PLP different from total vitamin B6?
PLP is the active, biologically active form of vitamin B6 in your body. Total vitamin B6 includes both PLP and other inactive forms like pyridoxine, pyridoxamine, and pyridoxal. Your test specifically measures PLP, which is more directly linked to how well your body functions.
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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