Vitamin B6 (Pyridoxine) When, How, and Why to Supplement


Sources and Physiologic Functions Sources: Poultry, fish, liver, and eggs are excellent sources of this vitamin; meat and milk contain lesser amounts. Pyridoxine in animal sources is 96 % bioavailable. Vitamin B6 can be made by digestive tract bacteria in healthy individuals. Plant foods such as legumes, peanuts, potatoes, yeast, bananas, corn, cabbage, yams, prunes, watermelon, and avocados also include this vitamin. Find more information on doctor wilsons adrenal rebuilder .

Populations at threat: As this vitamin is widely distributed, shortage is unusual except in persistent alcoholics and among women taking contraceptive pills. Elderly persons and infants of preeclamptic mothers or moms lacking in B6 are at risk. Clients on Cycloserine, hydantoin, hydralazine, isoniazid, and penicillamine should be offered B6 supplements. High protein diet increases the needs of this vitamin.

Severe deficiencies of vitamin B6 are rare, however moderate shortages are exceptionally typical. Nutritional information from Second National Health and Nutrition Examination Survey (NHANES II) in 11,658 grownups aged 19-74 y showed that 71 % of males and 90 % of women taken in less than the 1980 recommended nutritional allowance (RDA) of vitamin B6. Vitamin B6 is the most typical deficient water soluble vitamin in senior. Single drug and drug combinations taken by elderly people may impose nutritional danger. Unwanted outcomes of drug-food and drug-nutrient interactions can be decreased by advising elderly men and women and their caretakers to prevent timing mistakes in drug-taking habits and harmful responses due to food incompatibility. In addition, drug-induced nutritional deficiencies can be prevented by encouraging drug-taking senior on the appropriate levels of nutrient consumption. In a research study which compared the nutrient consumption of American children aged 2 to 10 years, vitamin B6 was found to be below the RDA in more than 50 % of the population.

Birth control pill use and occupational direct exposure to carbon disulfide induce vitamin B6 deficiency and/or boost vitamin B6 demand. Both substances trigger negative psychological/neurological conditions such as severe irritation, manic depressive tendencies, headaches, and other variables, however associated disorders most likely by disrupting typical vitamin B6 metabolic process and vitamin B6 administration has been discovered to reduce their unfavorable psychological symptoms. Further researches are needed to experimentally evaluate this interrelation. Conjoined direct exposure to OCs and CS2 may lead to an improved interruption of tryptophan metabolic process which might in turn cause overstated mental sequelae related to CS2 exposure.

Anemia and peripheral neuritis are seen in tuberculosis patients on isoniazid who establish pyridoxine shortage. 20-30 % of homocystinuric clients with dislocation of the lens of the eye, osteoporosis (fragile spinal column), mental retardation, and a tendency for spontaneous blood clots that can lead to heart attacks and death, respond to vitamin B6 therapy.
Biochemistry: Vitamin B6 isa cumulative term for pyridoxine, pyridoxal, and pyridoxamine, all which serve as precursors of the biologically active coenzyme, pyridoxal phosphate. Pyridoxal phosphate functions as a coenzyme that catalyze responses in protein metabolism, conversion of tryptophan to niacin, fat metabolism, carbohydrate metabolism, folic acid synthesis, glandular and endocrine functions, and for the nerve and brain energy. Vitamin B6 has a clear advantage in minimizing the intensity of homocystinuria, an uncommon disease that normally arises from a defect in an enzyme used for degrading homocysteine.

Safety: Deficient and excess consumptions of pyridoxine can produce neurologic disruptions. Many cases of sensory neuropathy have resulted from intakes of over 600 mg/day, but some proof recommends that it might result from dosages as low as 300-500 mg/d and that the overall direct exposure over time is the determinant of toxicity. There is one credit record that an everyday intake of 117 mg/day (on average) for 2.9 years might be related to some toxicity. In the very same research study however, the control group that did not get any neuropathy had a typical consumption of 116 mg/day for an average of 1.6 years, and some women in both groups had actually been taking as little as 50 mg/day, questioning the precision of the telephone survey approach made use of to figure out neuropathy.

Vitamin B6 is harmful at dosages that are 1000 times the RDA. Daily doses of 2 to 5 g of pyridoxine can produce problem in walking and tingling feelings in the legs and soles of the feet. Continued consumption of the toxic dose leads to further unsteadiness of walking, difficulty in dealing with little things, and pins and needles and clumsiness of the hands. Where a vitamin B6 supplement is stopped, recuperation begins after 2 months. Full healing might take place after 2 to 3 years of stopping consumption of the vitamin B6 supplements. One research revealed development of pure central-peripheral distal axonopathy with pyridoxine abuse. Pyridoxine dosage was 0.2 to 5 g/d, and duration of consumption prior to signs was inversely proportional to the day-to-day consumption. In all patients with adequate follow-up, improvement followed discontinuation of pyridoxine.

Is pyridoxine safe for long-term USAge in big sections of the population, consisting of children? It would appear from retrospective analysis of a number of studies that pyridoxine is safe at doses of 100mg/day or less in adults. In children, there is inadequate information to make any sort of recommendation. Because the significant neurologic complication is a peripheral neuropathy, and the causes of this condition are myriad, pyridoxine may cause neuropathy only in patients with a pre-existing susceptibility to this condition. Household histories, drugs, alcohol, nutritional status, and hazardous direct exposure at home or in the work place might all be predisposing elements which, in mix with pyridoxine, produce the peripheral neuropathy that is not seen in other patients taking the very same doses. The period of exposure that causes neuropathy is still a major question. Exceptionally high doses cause neurologic injury within a couple of days, and persistent low dosages seem fairly safe.

Deterioration of acne vulgaris or eruption of an acneiform exanthema was demonstrated throughout treatment with vitamin B6 and/or vitamin B12 in 14 clients. Women were, by far, the more regularly impacted. The appearance of skin symptoms, even outside the age groups generally impacted by acne vulgaris, is particular. The medical appearance of acneiform exanthema happening during treatment with vitamin B6 or B12 consists of freely disseminated little papules or papulopustules on the face (specifically on the forehead and chin), on the upper parts of the back and chest, and infecting the arm. The pathogensis of the modification is not yet certain. The acneiform rash typically fades within a short time after vitamin B6 or vitamin B12 treatment has actually been stopped.

Recommendations: RDA in mg.


  • Babies birth to 6 mos - 0.3 mg.


  • Babies 6 mos to 1 yr - 0.6 mg.


  • Children 1 year to 3 yr - 1.0 mg.


  • Children 4 yr to 6 yr - 1.1 mg.


  • Children 7 year to 10 year - 1.4 mg.


  • Teen males 11yr to 14 yr - 1.7 mg.


  • Teen females 11 year to 14 year - 1.4 mg.


  • Adolescent males 15 yr to 18 year - 2.0 mg.


  • Adolescent females 15 yr to 18 yr - 1.5 mg.


  • Men 19 yr to 50 yr - 2.0 mg.


  • Adult females 19 yr to 50 yr - 1.6 mg.


  • Men 51 year plus - 2.0 mg.


  • Adult women 51 yr plus - 1.6 mg.


  • Pregnant Women - 2.2 mg.


  • Lactating Mothers (1st 6 months) - 2.1 mg.


  • Nursing Mothers (2nd 6 months) - 2.1 mg.


  • Pyridoxine B6.


  • Food Source Serving Size/Amount # of mg/serving.


  • Chicken (dark meat) 3.5 oz 0.37 mg.


  • Chicken (light meat) 3.5 oz 0.63 mg.


  • Atlantic Salmon (wild, raw) 3.0 oz 0.70 mg.


  • Tuna (canned in water) 3.0 oz 0.30 mg.


  • Liver (beef braised) 3.5 oz 0.91 mg.


  • Live (veal braised 3.5 oz 0.91 mg.


  • Navy beans (boiled) 1 cup 0.30 mg.


  • Peanuts (dry roasted) 1 oz 0.07 mg.


  • Potato (boiled) 1 medium 0.40 mg.


  • Banana 1 medium 0.66 mg.


  • Prunes (dried) 10 0.22 mg.


  • Watermelon 1 cup 0.23 mg.


  • Avocado 1 medium 0.48 mg.


The Literature: Heart condition Prevention:.



einemia, a danger element for atherosclerosis, is associated with deficiencies of vitamin B6, folate, and cobalamin. Patients who were offered vitamin B6 for carpal tunnel syndrome and other degenerative conditions were found to have 27 % of the risk of establishing acute heart chest discomfort or myocardial infarction, compared to clients who had not taken vitamin B6. Dr. Ellis found that amongst his senior clients expiring at home, the typical age at death from myocardial infarction was 8 years later in those who had actually taken vitamin B6, compared to those who had actually not taken vitamin B6. The preventive impact of vitamin B6 on progression of coronary cardiovascular disease might be associated with increased development of pyridoxal phosphate, the coenzyme that is needed for catabolism of the atherogenic amino acid, homocysteine.

The total homocysteine (tHcy) level in the serum is related to pregnancy problems, neural tube defects, mental illness, and cognitive impairment in the senior. In addition, over 80 scientific and epidemiological researches supply ample evidence that an elevated tHcy level is a common cardiovascular risk factor. Oral treatment with pyridoxine approximately 300mg/d does not reduce the fasting tHcy level in healthy topics or vascular clients. However, pyridoxine (10 - 250 mg/d) decreases an abnormal postmethionine load tHcy level in most clients and, when integrated with folic acid, almost all acquire a normal postmethionine tHcy level.

Platelet aggregation:

Pyridoxine substantially decreased total plasma lipid and cholesterol levels, whereas it boosted HDL-cholesterol level. Thus, it is recommended that oral vitamin B6 inhibits platelet aggregation in normal topics.

Important Hypertension:

Many researches have actually recommended that pregnant and lactating women might have dietary consumption of vitamin B6 that are well below the suggested dietary allowance, which may influence the vitamin B6 status of their offspring. Vitamin B6 is efficient in the treatment of carpal tunnel syndrome and associated disorders in patients with vitamin B6 deficiency. A review of 12 controlled trials on vitamin B6 in the treatment of the premenstrual syndrome showed a weak evidence of favorable effects of vitamin B6.

Female professional athletes and those who get involved in sports which highlight low body weights (e.g., dancers, wrestlers, gymnasts and runners )might be
prone vulnerable low dietary vitamin B6 intakesConsumption Weak proof suggests that vitamin B6 might be beneficial in asthma. In another double-blind placebo-controlled trial, 31 clients requiring steroids (oral or inhaled)for the treatment of their asthma got pyridoxine 300 mg per day or placebo.

Anxiety:. Weak proof suggests that beneficial in the treatment of anxiety. The enhancement effect of 10 mg each of vitamins B1, B2, and B6 in 14 geriatric inpatients with anxiety who were treated with tricyclic antidepressant treatment was examined in a properly designed research study. The vitamin treated group showed trends towards higher enhancement in ratings on scores of depression and cognitive function, in addition to in serum nortriptyline levels compared to placebo-treated topics. Thus, B complex vitamin augmentation in the treatment of geriatric anxiety need to be thought about. Summary: Pyridoxine is vital for protein, fat and carbohydrate metabolism, folic acid synthesis, glandular and endocrine function. It is also important for the development of serotonin, and dopamine, and helps in the formation of numerous neurotransmitters and is for that reason, an important nutrient in the policy of mental procedures and the mood. A variety of claims have actually been made about the useful impacts of vitamin B6 on many conditions: atherosclerosis, interest deficit disorder, autism, alcohol withdrawal syndrome, diabetes, fibrocystic breast illness, carpal tunnel syndrome, chemotherapy, HIV clients, nephrolithiasis, osteoporosis, photosensitivity, retinopathy, and canker sores. Proof strongly recommends that vitamin B6 has a preventive impact in the development of coronary artery disease. It did not show any result in reducing the fasting plasma homocysteine level, vitamin B6 supplementation is revealed to lower postmethionine load tHcy, which might be the reason for its cardioprotective effect. In well done researches it has actually revealed effectiveness on par with amitriptyline in the treatment of persistent headaches. Many clinical conditions like chronic discomfort and anxiety, which are triggered by serotonin deficiency, might take advantage of vitamin B6 treatment. As it functions as an essential cofactor in the production of several neurotransmitters, it might be thought about a restorative adjunct in the treatment of a number of conditions.

like seizures, Parkinson's condition, behavioral irregularities of adults and children, and peripheral neuropathy. Vitamin B6 is likewise found to be effective in the treatment of carpal tunnel syndrome in clients with vitamin B6 deficiency. Exercise performance is enhanced with vitamin B6 supplements. Populations who are vulnerable to be deficient in this vitamin such as chronic alcoholics, women on contraceptive pills, clients on Isoniazid, and athletes must receive supplementation. Pregnant and breast feeding women need to consume appropriate amounts of vitamin B6 in their diets for the regular development of main nervous system and cognitive function and for the prevention of unusual behavioral development. Our suggestions for grownups is 40 mg/d, as there is weak evidence of some toxicity at 50 mg/d. Vitamin B6 is generally safe and can be consumed in amounts of 10-300 mg/d. Although side effects are rare, doses over 300 mg/d might lead to adverse neurological outcomes. Pregnant and lactating women should not take in more than 100 mg/d. Vitamin B6 supplementation ought to be stopped right away when sensory neuropathy with pins and needles in the hands and feet and/or problem in walking develops while on therapy.