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Vitamin B6


 

Summary and Conclusion: Vitamin B6

  • The primary physician should screen patients at risk for hyperhomocysteinemia (high homocysteine level) by sending a blood test for homocysteine level. A meta-analysis by Herrmann W, et al found that lowering homocysteine with folic acid, vitamin B6, and vitamin B12 showed a tendency toward lowering the risk of stroke (1).

 

  • A prevention evaluation by Saposnik G, et al in the HOPE-2 trail demonstrated that 2.5 mg. of folic acid (vitamin B9), 50 mg vitamin B6 and 1mg of vitamin B12 daily for 5 years reduced the risk of stroke by 25%. Interestingly, no noticeable effect was observed during the first 3 years of the supplements. The risk of stroke was lower in those who followed the vitamin regimen. Those who benefited the most included: younger than age 69, patients with higher cholesterol and homocysteine levels at the start of the study, those from areas where folic acid-fortified food isn’t available, and those who weren’t receiving anti-platelet drugs or cholesterol-lowering drugs. (2)

 

  • Vitamin B6 is useful for treating sideroblastic anemia (4).

 

  • Mintzer S, et al found that 48% of subjects taking antiepileptic drugs were vitamin B6 deficient (5).

 

  • Patients with lower B12 levels and higher homocysteine levels had more severe depression than those with normal levels. (6)

 

  • Ensure adequate intake of vitamin B6 in pregnancy. Vitamin B6 deficiency has been associated with early gestational diabetes, neurologic disease in babies, pre-eclampsia, and hyperemesis gravidarum (7).

 

 

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