I've been having several neurological symptoms so I asked my doctor for this test and it came back around 200. Lab range, 5-50 mcg/L.
My doctor (not a good one) said there is nothing to worry about even though I have a host of symptoms and am actually being evaluated for ALS since I developed constant muscle twitches last Spring.
I’ve looked around and seen this a bit now, there appear to be 2 subgroups: 1) people who supplement with a b6 at low, standard or high doses, even people who take as little as what is in a multi-vitamin. The people in this group cease supplementing and it appears their levels slowly normalize.
I am in the 2nd group... the group of people that are not supplementing with any B6, yet have elevated levels. The one thing I can find in common is that all appear to have neurological symptoms and issues.
The only B vitamins I have supplemented with in the last 6 months: I took 2 mega doses, 20k mcg of b12 to try and improve my neuropathy and lower homocysteine an I occasionally take 1000mg niacinamide. No B6.
I have seen one study with autistic children showing elevated B6 serum levels when no supplements were taken. I do not have autism nor am I child.
I have read that B6 has to be converted in the liver to pyridoxal form and that requires B2, riboflavin, so should I consider supplementing b2?
I will be researching this much more and try to find a solution, but if anyone has any insight, it would be appreciated.