Vitamin B6 deficiency occurs when the body does not receive enough pyridoxine, an essential vitamin involved in metabolism, nervous system function and red blood cell production. Since the body cannot store this vitamin, it must be obtained regularly through dietary sources. Insufficient intake or certain medical conditions may lead to low vitamin B6 levels and the development of vitamin B6 deficiency symptoms over time.
Common Symptoms of Vitamin B6 Deficiency
When vitamin B6 levels become low, various vitamin B6 deficiency symptoms may appear, affecting the skin, nervous system and blood cells. Because these symptoms can also occur in various other health conditions, it is important to seek medical advice for an accurate evaluation.
Symptoms of vitamin B6 deficiency may include the following:
- Skin redness and rashes
- Cracked lips and sores inside the mouth
- Mood changes
- Fatigue and anemia
- Numbness or tingling in the hands and feet
- Balance and coordination problems
- Difficulty concentrating
Skin redness and rashes
One of the areas where vitamin B6 deficiency may manifest is the skin. In some individuals, rashes characterized by redness, scaling or itching may appear. This condition may be associated with dermatitis-like skin changes that can occur particularly on the face, neck or scalp.
Various vitamins and minerals work together to maintain a healthy skin barrier. Therefore, identifying a single vitamin deficiency definitively may require a blood test and clinical evaluation in the Endocrinology Department. In some individuals, low levels of vitamin B6 may be observed together with such skin changes.
Cracked lips and mouth sores
Changes in the tissues around and inside the mouth may also be among the findings associated with vitamin B6 deficiency. Cracks at the corners of the lips, sensitivity inside the mouth or redness of the tongue may occur.
Redness and sensitivity on the surface of the tongue are referred to in the medical literature as “glossitis.” In addition, cracks at the corners of the mouth may also be associated with certain vitamin deficiencies. Since these symptoms can occur due to different reasons, nutritional status and overall health factors should be considered during evaluation.
Mood changes
Vitamin B6 plays an important role in the production of neurotransmitters within the nervous system. For this reason, low levels may be associated with mood-related changes in some individuals.
Symptoms such as difficulty concentrating or a feeling of mental fatigue may be related to vitamin B6 deficiency. However, since mood changes can have many different causes, it is not appropriate to make an assessment based on a single symptom.
Fatigue and anemia
Vitamin B6 is among the vitamins involved in hemoglobin production. Hemoglobin is a component that enables red blood cells to carry oxygen. Therefore, in some cases vitamin B6 deficiency may be associated with symptoms related to anemia.
In such situations, individuals may experience symptoms such as weakness, fatigue or dizziness.
Numbness or tingling in the hands and feet
B group vitamins play an important role in nervous system functions. Low levels of vitamin B6 may be associated with certain symptoms affecting the nervous system in some individuals.
In particular, sensations such as tingling, numbness or pins-and-needles in the hands and feet may be related to nervous system effects known as peripheral neuropathy. When such symptoms occur, other neurological conditions may also need to be evaluated.
Balance and coordination problems
In some cases where vitamin B6 deficiency becomes advanced, problems related to muscle coordination may develop. This may manifest as imbalance while walking, difficulty with coordination or problems controlling movements.
Difficulty concentrating
Vitamin B6 plays a role in the production of neurotransmitters that help regulate brain activity. In some individuals, low levels of vitamin B6 may be associated with difficulties in concentration or mental focus. However, problems with concentration can have many possible causes, so a comprehensive medical evaluation may be necessary.

Who is at Risk of Vitamin B6 Deficiency?
Vitamin B6 deficiency is generally rare in individuals who maintain a balanced diet. However, certain conditions may increase the risk of deficiency. Some situations associated with increased risk include:
- Kidney diseases
- Malabsorption disorders
- Chronic alcohol use
- Long-term use of certain medications
- Inadequate and unbalanced nutrition
In such cases, blood tests may be performed when deemed necessary by healthcare professionals to evaluate vitamin levels.
Risk Factors for Vitamin B6 Deficiency
Although vitamin B6 deficiency is not very common, certain conditions may increase the risk of developing a deficiency. These risk factors are generally evaluated in relation to dietary habits, chronic diseases or the use of certain medications.
Some conditions that may increase the risk of vitamin B6 deficiency include:
- Inadequate and unbalanced nutrition
- Chronic alcohol use
- Kidney diseases
- Malabsorption disorders
- Long-term use of certain medications
- Advanced age
In such situations, blood tests may be performed by the Endocrinology or Internal Diseases departments when deemed necessary in order to evaluate vitamin levels.

