Vitamin B-6 is a water-soluble vitamin, and is readily metabolized and excr
eted, so it has generally been assumed to have negligible toxicity, althoug
h at very high levels of intake it can cause peripheral nerve damage. Nutri
tional deficiency disease is extremely rare, although a significant proport
ion of the population shows biochemical evidence of inadequate status, desp
ite apparently adequate levels of intake. The vitamin has been used to trea
t a wide variety of conditions, which may or may not be related to inadequa
te intake. In some conditions use of vitamin B-6 supplements has been purel
y empirical; in other conditions there is a reasonable physiological or met
abolic mechanism to explain why supplements of the vitamin many times great
er than average requirements may have therapeutic uses. However, even in su
ch conditions there is little evidence of efficacy from properly conducted
controlled trials.