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Vitamin

Vitamin B6

Also known as: Pyridoxine, Pyridoxal, P5P, Pyridoxal-5-phosphate

A
Evidence

An essential B-vitamin cofactor for neurotransmitter synthesis, homocysteine metabolism, and sleep-wake regulation. Pyridoxal-5-phosphate is the active, bioavailable form that directly participates in enzymatic reactions.

Last reviewed June 2026 · Evidence graded from peer-reviewed research, not editorial opinion. Educational only — not medical advice.

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The highest-scored Vitamin B6 product in our catalog (93/100). Track dose and overlaps in the app.
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Every Vitamin B6 product we have scored

Scored on dose accuracy, form, label transparency and third-party testing. Per-serving cost is list price divided by servings per container. No brand pays to be listed or ranked.

Common questions

How much Vitamin B6 should I take?

The typical range is 10-50mg daily. Long-term safe at moderate doses

When should I take Vitamin B6?

Morning. Optional.

Which form of Vitamin B6 is best?

Pyridoxine HCl — Needs liver conversion. Other forms in the catalog: P5P, Diclegis/Diclectin, Pyridoxal-5-phosphate, pyridoxal phosphate.

Is Vitamin B6 safe?

Commonly reported: Well tolerated. Serious warnings: Neuropathy at very high doses (>200mg long-term). Safe

Which Vitamin B6 supplement scores highest?

Thorne Craving and Stress Support, at 93/100. Scored on dose accuracy, form, label transparency and third-party testing — no brand pays to be listed or ranked.

Daily target & upper limit

1.7 mg / day · UL 100 mg

Vitamin B6 has an established daily reference intake. See best forms, label synonyms, upper-limit warnings, and top-scoring supplements:

Vitamin B6 dosage reference →

Primary uses

  • Mood support
  • PMS relief
  • Neurotransmitter synthesis
  • Hormone balance
  • HPA axis support
  • Pregnancy nausea
  • Morning sickness
  • Nausea prevention
  • Protein metabolism
  • Immune function
  • Homocysteine metabolism
  • Sleep support

What systematic reviews concluded

Outcomes that systematic reviews of Vitamin B6 reached a verdict on: 5 with a benefit, 1 with no effect, 1 with harm reported, 6 unclear. Each is quoted from a review and linked to it on PubMed. How these were read.

Reviews found a benefit (5)

Benefithomocysteine levels
“Combined B-vitamin supplementation effectively lowers serum Hcy levels and the incidence of vascular restenosis in patients with CHD.” PMID 41615824 · 2 reviews
Benefitrestless legs syndrome symptoms
“Magnesium oxide and vitamin B6 significantly improved sleep quality and RLS symptoms, with magnesium showing greater effectiveness.” PMID 39064758
Benefitperiodontal disease(as Pyridoxine)
“inadequate riboflavin (B2) and pyridoxine (B6) intake correlated with higher community periodontal index (CPI) scores (p < 0.05).” PMID 40218924
Benefithand-foot syndrome(as Pyridoxine)
“Prophylaxis with pyridoxine 400 mg in capecitabine-treated patients lowered the risk of grade 2 or 3 hand-foot syndrome.” PMID 32830797
Benefitmigraine prophylaxis(as Pyridoxine)
“a potential beneficial effect regarding the administration of B6, folate and/or B12 in the prophylaxis of MA in adults was indicated.” PMID 32279306

Reviews found no effect (1)

No effectdepressive symptoms
“We also found no overall effect of vitamin supplementation on measures of depression.” PMID 33809274
Every supplement reviewed for depression →

Harm reported (1)

Harm reportedperipheral neuropathy(as Pyridoxine)
“Current scientific evidence supports a neurotoxic role of B6 at high levels.” PMID 37447150

Not enough to say: cardiovascular events; cognitive function; peripheral neuropathy; premenstrual syndrome psychological symptoms; behavioral adverse effects of levetiracetam; clinical effectiveness in gyrate atrophy.

1 finding from reviews in specific patient groups (such as cancer, pregnancy or surgery) is not shown here.

How it works

  • Cofactor for 100+ enzymes
  • Amino acid metabolism
  • Serotonin/dopamine synthesis
  • Hemoglobin synthesis

Dosage

Typical range
10-50mg daily
Timing
Morning
With food
Optional
Duration
Long-term safe at moderate doses
Special populations
Higher needs in pregnancy

Forms

  • Pyridoxine HCl
  • P5P
  • Diclegis/Diclectin
  • Pyridoxal-5-phosphate· 70/100
  • pyridoxal phosphate· 70/100

Safety

Common side effects

  • Well tolerated

Contraindications

  • None at normal doses

Products containing Vitamin B6

Top-scoring supplements in our catalog that list Vitamin B6 on the label. Each product is graded on Formulate's ingredient-level rubric — dose accuracy, form, transparency, and third-party testing.

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Known interactions

Evidence notes

Essential vitamin with well-established functions

Grade A: Multiple well-designed human trials support the main claims.

Cited research for Vitamin B6

Clinical studies referenced across Formulate guides that mention vitamin b6. Each links to the full study page with PubMed source + the guides that cite it.

Related in Vitamin

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Medical disclaimer. This page is educational and does not replace advice from a qualified healthcare provider. Individual needs and risks vary — consult a professional before starting, stopping, or combining supplements, especially if you are pregnant or nursing, taking medication, or managing a health condition.