Hi Dr Woeller,
I am confused regarding the p-5-p situation. I have always found this to be an effective form of b6 and the OAT test reports show it is being absorbed well.
But on the Exam #3 there is a question regarding this, and I seem to have gotten it wrong.
I looked this up on the GPL website, and I don’t exactly know what to make of it:
“Lastly, sufficient B6 is required to help with the conversion of glyoxalate to glycine in the body. Maintaining sufficient levels of vitamin B6 will help with the endogenous production. However, the active form (P5P) is poorly absorbed. I recommend that patients in pain start with low doses of pyridoxine hydrochloride (10 mg) and work up to higher doses as tolerated. The upper limit is 100 mg per day. Patients without pain can usually safely start at 50 mg per day. ”
Am I making a mistake using P-5-P for Oxalate breakdown? I use it as part of a b-vitamin supplement program and we are seeing that yes, it is absorbed well. Do I need to also use the Pyridoxal form?
Can you clarify? I’m very confused here.
Thanks in advance!