To successfully treat and prevent recurrence of abnormal vitamin B6 levels we need to understand and — if possible — remove the underlying causes and risk factors. We need to ask: "What else is going on inside the body that might allow abnormal vitamin B6 levels to develop?"
Accurate diagnosis of the factors behind abnormal vitamin B6 levels consists of three steps:
sensitivity to bright light
small social support group size
lighter/paler skin color
being a recovered alcoholic
minor joint pain/swelling/stiffness
frequent unexplained nausea
being prone to 'stitches'
severe fatigue after slight exertion
no desire to eat breakfast
chronic nausea
being an unsocial person
forgetting dreams| Cause | Probability | Status |
|---|---|---|
| Nutritional Deficiency Anemia | 94% | Confirm |
| Pyroluria | 55% | Possible |
|
Vitamin B6 (pyridoxine). Unit: ng/mL [nmol/L]
Possible responses:
→ Don't know→ Confirmed deficiency in the past → Under 4 [16] (low) → 4 to 18 [16-73] (normal) → Over 18 [73] (elevated) |
A functional pyridoxine deficiency is common in pyroluria (often seen in alcoholics), due not so much to inadequate intake as impaired conversion to its active form, pyridoxal-5-phosphate, and enhanced degradation.