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How to interpret vitamin B6 tests: Plasma pyridoxal-5'-phosphate (PLP) is considered the best way to assess vitamin B6 status in people without inflammatory conditions---it is the active form of B6 in the body and not strongly influenced by daily fluctuations in B6 intake

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The long-term use of high doses of cyanocobalamin have also shown to leave eight times as much unusable cyanocobalamin inside the bodys cells, though the health consequences of this remain unclear (6)