Michael Greger, M.D., FACLM, is a physician, New York Times best-selling author, founder of NutritionFacts.org, and a founding member and Fellow of the American College of Lifestyle Medicine, and internationally recognized speaker on nutrition, food safety, and public health issues
Gather additional medical documentation (HbA1c labs, treatment history, physician notes)
Inform your doctor about your most recent blood test results and whether you have experienced any methotrexate-related complications such as liver enzyme elevations, low blood counts, or kidney function changes
J Clin Invest 91(1):301307
Long-term overconsumption of B6 can cause severe neurological symptoms, skin lesions, sensitivity to light, nausea, and heartburn, with some of these symptoms occurring at intakes of 16 grams per day (17)
They regard this as a reflection of how the medication and diet work synergistically, affecting both glucose metabolism and weight management