Vitamin B6 (Pyridoxine)

A B vitamin central to energy metabolism, nerve function, and amino acid processing.

Last reviewedJune 16, 2026
Plasma
sample type
~3 mL
blood needed
~7 days
results in app
Any time of day
best timing
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In short

Vitamin B6, also called pyridoxine, is a water-soluble vitamin involved in hundreds of enzyme reactions, especially those handling proteins and amino acids. It supports the nervous system, the formation of red blood cells, and immune function.

Blood testing usually measures pyridoxal-5-phosphate (PLP), the active form of the vitamin in plasma, which is the best single indicator of B6 status.

Vitamins & Minerals
Reviewed against DGKL reference practice.
Why it matters

Why test this?

Vitamin B6 is needed for normal nerve function, the breakdown of homocysteine, and red blood cell production. Low levels can contribute to nerve symptoms, anaemia, and raised homocysteine.

Testing helps confirm whether intake is adequate and is useful when assessing nerve symptoms or planning supplementation. Notably, very high B6 from over-supplementation can itself cause nerve problems, so more is not better.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Measured as plasma pyridoxal-5-phosphate (PLP) by HPLC. Ranges are guidance and vary by laboratory.

StatusPlasma PLP
AdequateAt or above 30 nmol/L
Typical adult referenceApproximately 20 to 200 nmol/L

A PLP of 20 nmol/L or above is widely used as the threshold for adequacy. Confirm the exact interval with the reporting laboratory.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

You learn whether your B6 level is low, adequate, or high. A low result suggests inadequate status, which can relate to poor intake, certain medications, or higher needs. A very high result usually reflects supplementation, which in excess can cause nerve symptoms.

What affects your level

What can affect this result?

What can skew the result

PLP is light-sensitive, so poor sample handling can lower results. Recent supplementation can raise levels markedly. Inflammation can lower plasma PLP independently of intake. Certain medications can reduce B6 status.

Best interpreted with

Read alongside homocysteine, and with other B vitamins such as folate and B12 when assessing nerve symptoms or anaemia.

How testing works

How is this tested?

Sample
Plasma
Blood needed
~3 mL
Method
HPLC
Best timing
Any time of day
FAQ

Common questions

Included in these panels

Which Aniva panels include this marker?

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Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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