Heads Up on Vitamin B6 & Neuropathy
Australia is restricting vitamin B6 products above 50 mg after reports of neuropathy at lower doses than expected, but the US has no dose limits on B6 supplements. Our NatMed article explains the risk and what to tell patients. Neuropathy is most likely with very high doses, but it can occur at lower doses too, and many reports involved patients stacking several B6-containing products. The US upper limit is still 100 mg daily, but it’s reasonable to recommend the lowest effective dose for the reason they’re taking it. Remind patients that B6 hides in multivitamins, B-complex supplements, and nootropic blends, and to stop it and call you if numbness or tingling develops.
Heads Up on Vitamin B6 & Neuropathy
Australia is restricting vitamin B6 products above 50 mg after reports of neuropathy at lower doses than expected, but the US has no dose limits on B6 supplements. Our NatMed article explains the risk and what to tell patients. Neuropathy is most likely with very high doses, but it can occur at lower doses too, and many reports involved patients stacking several B6-containing products. The US upper limit is still 100 mg daily, but it’s reasonable to recommend the lowest effective dose for the reason they’re taking it. Remind patients that B6 hides in multivitamins, B-complex supplements, and nootropic blends, and to stop it and call you if numbness or tingling develops.
New Podcast!
Natural Medicines: Evidence in Practice
In our latest episode, Supplements in Diabetes: Your Top FAQs, NatMed editors Jeff Langford, Andrea Stafford, and Kelly Daniels answer important questions about supplements in patients with diabetes. They cover which supplements have evidence for glycemic control, and which ones can raise blood glucose, increase the risk of hypoglycemia, or even throw off a glucose reading. They wrap up with a lightning round of quick questions patients ask every day.
Pharmacy and Prescriber Podcasts
Medication Talk
Listen to this month’s podcast episode, Navigating Obesity Treatment, as our expert panel walks through today’s full range of obesity treatment options — from older agents like orlistat and phentermine/topiramate to the latest GLP-1 therapies — and how to match the right medication to each patient’s health profile.
All Medication Talk episodes offer CE credit to Pharmacist’s Letter and Prescriber Insights subscribers for 2 years after the episode release date. Go to the CE/CME & Training Organizer and search “podcast” to find available courses.
Upcoming Live CE Webinars for Your Clinicians
Diabetes Technology in Practice: From Evidence to Everyday Care
Dates: November 10 & 12
In this month’s live webinar, Diabetes Technology in Practice: From Evidence to Everyday Care, our panelists review the latest diabetes technology, including continuous glucose monitors and automated insulin delivery systems. They’ll cover what the evidence shows about their impact on glycemic control, hypoglycemia risk, and quality of life for patients living with diabetes, plus practical guidance for integrating these tools into everyday practice.
Available for APRNs, pharmacists, pharmacy technicians, PAs, physicians, and RNs accreditation and CE/CME:
- ACCME: 1.00 hour
- ACPE: 1.00 hour – pharmacists and technicians
- ANCC: 1.00 hour
Pharmacy Essential Updates
Upcoming 2026 Live Webinars
Save the date for our “Super Saturday” event on December 12 to earn up to 4 hours of live CE credit in one day! Register now in your CE & Training Organizer for these Pharmacy Essential Updates sessions.
Also, check out our upcoming Pharmacy Essential live CE webinars.
Dates: November 5, 11, 14, 17, and 18, December 3 and 12
Topics: This edition reviews when an influenza antiviral is recommended for treatment or prevention (and how oseltamivir and baloxavir compare on efficacy, safety, and dosing), how automated insulin delivery systems are expanding into type 2 diabetes (with pearls for dispensing AID prescriptions accurately and helping patients with proper use), and which meds increase fall risk in older adults (with practical strategies to screen patients and cut back on risky meds).
*Pharmacists and pharmacy technicians can earn 1 Hour of CE for each attended webinar.
Prepare Your Team for Every Conversation with Audirie
Your pharmacy team has important conversations all day, whether they’re counseling a patient on a new medication or giving a coworker feedback. Most pharmacy training focuses on clinical knowledge, so many staff never get much practice with the communication side of the job. That’s why we built Audirie, TRC Healthcare’s AI-powered simulation training platform, where pharmacy technicians and pharmacists can practice with a realistic AI partner and get feedback after each session.
How Audirie Helps Your Team
- Practice Patient Counseling: AI-simulated scenarios let staff rehearse counseling and clinical situations as often as they need, so they’re ready when it counts.
- Practice Team Conversations: Simulations also cover peer-to-peer and pharmacist-to-technician conversations, such as giving feedback or working through a disagreement.
- Handle Awkward Moments with Confidence: Whether it’s a difficult patient or a sensitive workplace topic, staff can rehearse ahead of time so the real conversation feels less uncomfortable.
- See Progress Across Your Team: Managers can see who’s practicing and where someone may need more support.
Good communication makes for stronger teams, both at the counter and behind it.
Webinar Spotlight
What Specialty Pharmacy Accreditation Really Takes
Watch our most recent webinar, What Specialty Pharmacy Accreditation Really Takes, where Jill Paslier, PharmD, and Bonnie Dugie, PharmD, shared findings from a national survey of 60 specialty pharmacy professionals on the time, staffing, and budget that accreditation requires. They also offered practical strategies to strengthen project management, improve survey readiness, and support ongoing compliance.
Key Takeaways:
- Understand the real-world time, staffing, and financial resources specialty pharmacies dedicate to achieving and maintaining accreditation.
- Identify practical project management strategies for coordinating accreditation work, including governance, gap analysis and action planning, documentation and evidence readiness, and survey preparation.
- Apply lessons from the survey findings to strengthen accreditation readiness, improve accountability, and build a more sustainable approach to ongoing compliance.
Please note: This webinar is intended for educational and informational purposes only and does NOT offer CE/CME credit.
About TRC Healthcare
TRC Healthcare provides unbiased education, training, and support to every healthcare professional to reduce knowledge gaps, encourage evidence-based practice, lower costs, and deliver better patient outcomes.
