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Vitamin B6 (Pyridoxine)

VIT-uh-min BEE-six / PEER-ih-DOX-een / PEER-ih-DOX-al FOSS-fate

Vitamin

A versatile vitamin involved in over 150 body reactions, especially important for making brain chemicals, blood cells, and breaking down proteins.

B6 is like a master craftsman who can work in dozens of different workshops — making brain chemicals in one, building blood cells in another, and processing proteins in a third.

What it does in the body

  • Amino acid metabolism (transamination, decarboxylation) — over 150 PLP-dependent enzymes
  • Neurotransmitter synthesis (serotonin, dopamine, GABA, norepinephrine, histamine)
  • Hemoglobin synthesis (ALA synthase — rate-limiting step of heme biosynthesis)
  • Glycogen phosphorylase cofactor (glycogenolysis)
  • Immune function (lymphocyte proliferation and IL-2 production)

How much you need (Daily Value)

GroupRecommendedSource
Adult male1.3-1.7 mg (higher for age 51+)NIH/IOM
Adult female1.3-1.5 mg (higher for age 51+)NIH/IOM
Pregnancy1.9 mgWHO/IOM
Children0.5-1.0 mg (ages 1-13)WHO
Older adults1.7 mg (male), 1.5 mg (female)NIH

Richest food sources

FoodAmountWhere
Chickpeas (canned)1.14 mg per 100gMiddle East/South Asia
Beef liver1.03 mg per 100gglobal
Tuna (yellowfin)0.93 mg per 100gglobal
Salmon0.64 mg per 100gglobal
Chicken breast0.52 mg per 100gglobal
Potato (baked with skin)0.41 mg per 100gAmericas/Europe
Banana0.37 mg per 100gTropics/global
Pistachio nuts1.70 mg per 100gMiddle East/Central Asia

If you don't get enough

Mild: Irritability, depression, confusion, angular cheilitis, glossitis

Moderate: Microcytic sideroblastic anemia (impaired heme synthesis), dermatitis, peripheral neuropathy

Severe: Seizures (especially in infants — pyridoxine-dependent epilepsy), severe depression, immunodeficiency, hyperhomocysteinemia

Time to onset: Mild symptoms within 2-3 weeks; anemia and neuropathy over weeks to months

Too much

Upper limit: 100 mg/day for adults

Chronic doses >200 mg/day cause sensory neuropathy (paradoxical to deficiency symptoms): progressive numbness, ataxia, loss of proprioception. Typically reversible on cessation.

How well you absorb it

75% from food; nearly 100% from supplements

Helped by: Riboflavin (FAD-dependent pyridoxamine-5'-phosphate oxidase converts dietary forms to PLP)

Hindered by: Isoniazid (forms inactive hydrazone with PLP), Cycloserine, Penicillamine, Oral contraceptives (increase tryptophan catabolism, raising B6 demand), Alcohol

Cooking & storage

B6 is moderately heat-sensitive; 10-50% lost during cooking. The pyridoxine glycoside form in plant foods has lower bioavailability (50-60%) compared to animal-source pyridoxal/pyridoxamine. Milling of grains removes substantial B6.

Did you know. NHANES data suggest approximately 10-15% of the US population has inadequate B6 status. Globally, deficiency disproportionately affects the elderly, women on oral contraceptives, and TB patients on isoniazid.

Educational reference only. Nutrient needs vary with age, sex, health, and medication. Not medical or dietary advice. See our full disclaimer.
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Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.

AVitamin B6 Fact Sheet for Health Professionals — NIH Office of Dietary Supplements, 2023
AVitamin B6 status and metabolism in pregnancy — American Journal of Clinical Nutrition, 2020
BPyridoxine neuropathy: sensory neuropathy with supplementation — Neurology, 2018