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Here is what I recommend: Pyridoxine Paradox The most common form of vitamin B6 that is sold on the market is in the form of Pyridoxine hydrochloride (PNHCl)

These groups include vegetarians, vegans, and persons with pernicious anemia, gastrointestinal disorders and alcohol abuse problems

J Neurol 267(11):31693176

While healthy kidneys can flush out excess B12 since its water-soluble, those with impaired kidney function might struggle to eliminate it, leading to unwanted buildup in the blood

Its inclusion in metabolic-medicine conversation reflects the growing willingness of physicians to consider mechanism-first compounds across classes