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That said, patients with active diabetes or significant metabolic dysfunction should have any investigational peptide protocol reviewed by their endocrinologist or primary care physician alongside their supervising aesthetic medicine provider

And to get back to the point here, the original poster mentions a low B12 level and receiving treatment for same, but not taking any additional B vitamins so the simplest explanation here is that they are experiencing neurological damage from B12 deficiency, rather than anything to do with B6

[DOI] [PMC free article] [PubMed] [Google Scholar] 81.McMichael M.A., Freeman L.M., Selhub J., Rozanski E.A., Brown D.J., Nadeau M.R., Rush J.E

doi: 10.1182/asheducation-2003.1.62