Conversation: The conversation between human and AI assistant.
[|Human|] I have just found out that I have double the level of B6 in my blood work. I have read about Vitamin B6 toxicity and I have stopped taking Centrum. I do have red painful spots on the bottom of my big toes and some of my other toes. What else do I need to do to lower Vitamin B6 and to heal my toes?
[|AI|]  Vitamin B-6 is needed for maintaining healthy nerves and muscle cells, and aids in the production of DNA and RNA. Too much synthetic pyridoxine, however, can irritate nerves and create symptoms. The most commonly irritated nerves from pyridoxine toxicity are the smaller peripheral nerves of the hands and feet, which produce numbness in a "stocking-glove" distribution, according to the Merck Manual website. Although numbness is common, the nerve irritation does not usually affect the senses of touch, temperature or pain. Motor coordination and walking ability often remain intact, although muscle spasms or cramps may be experienced. Discontinuing pyridoxine supplementation (cent rum) usually reverses these symptoms within a few weeks.