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Its a water-soluble vitamin that isnt synthesized by the body nor stored long-term, so we need to replenish our supply regularly by eating foods that contain B6.[ref] Vitamin B6 comes in multiple forms: pyridoxal, pyridoxine, and pyridoxamine, as well as phosphate ester forms.[ref] The active form of B6 most often used in reactions in the body is pyridoxal 5-phosphate , abbreviated as PLP or P5P

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Thyroid medications like levothyroxine also require empty stomach dosing