B Vitamin

The workhorse vitamin.

B6 is a cofactor in over 100 enzyme reactions—more than any other vitamin. It's essential for making neurotransmitters.

Vitamin B6 pathway diagram
100+

enzymatic reactions require B6 as a cofactor.

That's more than any other vitamin. It's involved in nearly everything.

What else B6 does.

Histamine Breakdown

Cofactor for DAO enzyme, which breaks down histamine. Deficiency can worsen histamine intolerance.

Glutathione Production

Required for CBS enzyme in transsulfuration—the pathway that produces cysteine for glutathione.

Oxalate Metabolism

Required for glyoxylate detoxification. Deficiency leads to oxalate accumulation and kidney stones.

Heme Production

Cofactor for ALA synthase, the first step in making heme for hemoglobin. Affects oxygen carrying capacity.

Glucose Release

Needed for glycogen phosphorylase, which releases stored glucose. Affects blood sugar stability.

Hormone Modulation

Modulates steroid hormone activity. Often used for PMS symptoms and hormonal balance.

Forms Matter

Pyridoxine vs P5P.

Pyridoxine (B6)

The common supplement form. Must be converted to P5P by the liver using riboflavin (B2).

Less expensive
Requires conversion
High doses can cause neuropathy

P5P (Pyridoxal-5-Phosphate)

The active coenzyme form. Ready to use without conversion.

No conversion needed
Better for impaired conversion
Safer for long-term use

Important: High-dose pyridoxine (over 100mg/day long-term) can paradoxically cause B6 toxicity symptoms including peripheral neuropathy. P5P is generally safer for higher doses. If you have symptoms of B6 excess while taking pyridoxine, switch to P5P.

Signs of B6 deficiency.

Anxiety and irritability
Depression
Insomnia
Skin issues (dermatitis)
Cracked corners of mouth
Carpal tunnel syndrome
Vivid dream recall
PMS symptoms

Note: Vivid dreams can indicate either deficiency (starting B6) or excess (taking too much).

Vitamin B6 Discussion