Page last updated: 2024-10-30

metformin and Vitamin B 12 Deficiency

metformin has been researched along with Vitamin B 12 Deficiency in 129 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Vitamin B 12 Deficiency: A nutritional condition produced by a deficiency of VITAMIN B 12 in the diet, characterized by megaloblastic anemia. Since vitamin B 12 is not present in plants, humans have obtained their supply from animal products, from multivitamin supplements in the form of pills, and as additives to food preparations. A wide variety of neuropsychiatric abnormalities is also seen in vitamin B 12 deficiency and appears to be due to an undefined defect involving myelin synthesis. (From Cecil Textbook of Medicine, 19th ed, p848)

Research Excerpts

ExcerptRelevanceReference
"Total, but not bioavailable, vitamin B12 stores were depleted during pregnancy to a greater extent in metformin-treated than in insulin-treated women with GDM, but neither analyte differed between groups at any stage."9.17Vitamin B12 and homocysteine status during pregnancy in the metformin in gestational diabetes trial: responses to maternal metformin compared with insulin treatment. ( Baghurst, PA; Coat, S; Gatford, KL; Hague, WM; Houda, CM; Lu, ZX; Owens, JA; Rowan, JA; Sikaris, K, 2013)
"To study the effects of metformin use and vitamin B12 deficiency on stroke rate among patients with T2DM."8.31The Effect of Metformin on Vitamin B12 Deficiency and Stroke. ( Abu Dahoud, W; Blum, A; Hajouj, T; Horrany, N; Moallem, Y; Zreik, M, 2023)
"To determine the impact of hyperglycemia and metformin use on relevant B vitamin biomarkers and cognitive outcomes in older adults."7.91Hyperglycemia and Metformin Use Are Associated With B Vitamin Deficiency and Cognitive Dysfunction in Older Adults. ( Casey, MC; Cunningham, C; Gallagher, AM; Hoey, L; Hughes, CF; Laird, E; McCann, A; McCarroll, K; McNulty, H; Molloy, AM; O'Kane, M; Porter, KM; Strain, S; Tracey, F; Ward, M, 2019)
"Aim of the study was to clarify the relationship between metformin-induced vitamin B12 (B12) deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes."7.79Relationship between metformin use, vitamin B12 deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes. ( Aizawa, T; Funase, Y; Ouchi, K; Sato, Y; Yamauchi, K, 2013)
"Vitamin B12 deficiency may be induced by long-term use of metformin, which may in turn lead to hyperhomocysteinemia."7.74Hyperhomocysteinemia, deep vein thrombosis and vitamin B12 deficiency in a metformin-treated diabetic patient. ( Chang, CS; Chung, CY; Lin, HY; Lin, JS; Shen, MC; Wang, ML, 2007)
"However, the associated vitamin B12 deficiency is less well known."5.40Long term use of metformin leading to vitamin B 12 deficiency. ( Tan, LK; Tung, ML, 2014)
"Long-term use of metformin in DPPOS was associated with biochemical B12 deficiency and anemia."5.22Long-term Metformin Use and Vitamin B12 Deficiency in the Diabetes Prevention Program Outcomes Study. ( Aroda, VR; Bray, GA; Crandall, JP; Edelstein, SL; Goldberg, RB; Knowler, WC; Marcovina, SM; Orchard, TJ; Schade, DS; Temprosa, MG; White, NH, 2016)
"Total, but not bioavailable, vitamin B12 stores were depleted during pregnancy to a greater extent in metformin-treated than in insulin-treated women with GDM, but neither analyte differed between groups at any stage."5.17Vitamin B12 and homocysteine status during pregnancy in the metformin in gestational diabetes trial: responses to maternal metformin compared with insulin treatment. ( Baghurst, PA; Coat, S; Gatford, KL; Hague, WM; Houda, CM; Lu, ZX; Owens, JA; Rowan, JA; Sikaris, K, 2013)
"To study the effects of metformin use and vitamin B12 deficiency on stroke rate among patients with T2DM."4.31The Effect of Metformin on Vitamin B12 Deficiency and Stroke. ( Abu Dahoud, W; Blum, A; Hajouj, T; Horrany, N; Moallem, Y; Zreik, M, 2023)
" Metabolic syndrome and polycystic ovary syndrome diagnosed patients with insulin resistance and/or impaired glucose tolerance, patients with type 2 diabetes mellitus (DM) treated with metformin were enrolled in study."4.12Does Metformin Treatment in Pediatric Population Cause Vitamin B12 Deficiency? ( Berberoglu, M; Dogan, O; Eminoglu, FT; Kontbay, T; Kose, E; Siklar, Z; Taş, Ö; Tumer, L, 2022)
"To examine (1) effects of short-term metformin treatment on serum holotranscobalamin (holoTC) and folate and (2) their association with insulin sensitivity in recent-onset type 2 diabetes."3.96Vitamin B12 and Folate Concentrations in Recent-onset Type 2 Diabetes and the Effect of Metformin Treatment. ( Anadol-Schmitz, E; Bobrov, P; Burkart, V; Kahl, S; Kanti, G; Karusheva, Y; Markgraf, DF; Roden, M; Sarabhai, T; Strassburger, K; Szendroedi, J; Trenkamp, S; Zaharia, OP; Ziegler, D, 2020)
"To determine the impact of hyperglycemia and metformin use on relevant B vitamin biomarkers and cognitive outcomes in older adults."3.91Hyperglycemia and Metformin Use Are Associated With B Vitamin Deficiency and Cognitive Dysfunction in Older Adults. ( Casey, MC; Cunningham, C; Gallagher, AM; Hoey, L; Hughes, CF; Laird, E; McCann, A; McCarroll, K; McNulty, H; Molloy, AM; O'Kane, M; Porter, KM; Strain, S; Tracey, F; Ward, M, 2019)
"001, 95% CI) with age, dementia, changes in blood red cell counts, memory, and with the taking of metformin and proton pump inhibitors (P=."3.88[Vitamin B ( Camarero-Shelly, M, 2018)
"Metformin, a biguanide drug, is emerging as an important treatment option for the prevention or treatment of weight gain, type 2 diabetes mellitus, and the metabolic syndrome in psychiatric patients, especially those who require or receive antipsychotic drugs."3.83Use of Metformin for Cardiometabolic Risks in Psychiatric Practice: Need-to-Know Safety Issues. ( Andrade, C, 2016)
"Aim of the study was to clarify the relationship between metformin-induced vitamin B12 (B12) deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes."3.79Relationship between metformin use, vitamin B12 deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes. ( Aizawa, T; Funase, Y; Ouchi, K; Sato, Y; Yamauchi, K, 2013)
"Vitamin B12 deficiency may be induced by long-term use of metformin, which may in turn lead to hyperhomocysteinemia."3.74Hyperhomocysteinemia, deep vein thrombosis and vitamin B12 deficiency in a metformin-treated diabetic patient. ( Chang, CS; Chung, CY; Lin, HY; Lin, JS; Shen, MC; Wang, ML, 2007)
"Identification of risk factors for metformin-related vitamin B(12) deficiency has major potential implications regarding the management of diabetes mellitus."3.73Risk factors of vitamin B(12) deficiency in patients receiving metformin. ( Chan, MH; Chow, KM; Ma, KK; Szeto, CC; Ting, RZ, 2006)
"Type 2 diabetes mellitus is one of the most globally common chronic diseases."3.01Metformin-Induced Vitamin B12 Deficiency among Type 2 Diabetes Mellitus' Patients: A Systematic Review. ( Abuzaid, O; Al-Sheikh, R; Albannawi, M; Alhajjmohammed, D; Alkubaish, Z; Althani, R; Altheeb, L; Altuwajiry, H; Ayoub, H; Khattab, R; Mutwalli, H; Purayidathil, T, 2023)
"390 patients with type 2 diabetes receiving treatment with insulin."2.75Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial. ( Bets, D; de Jager, J; Donker, AJ; Kooy, A; Lehert, P; Stehouwer, CD; van der Kolk, J; Verburg, J; Wulffelé, MG, 2010)
"Metformin treatment is a known pharmacological cause of vitamin B12 (Cbl) deficiency with controversial responsible mechanisms."2.48Recommendations for diagnosis and management of metformin-induced vitamin B12 (Cbl) deficiency. ( Mazokopakis, EE; Starakis, IK, 2012)
"Successful care of the patient with type 2 diabetes requires not only focus on glucose management but also on comorbidities such as hypertension, dyslipidemia and obesity which are closely linked to microvascular and macrovascular complications."2.47Recent diabetes issues affecting the primary care clinician. ( Barboza, J; Sando, KR; Taylor, J; Willis, C, 2011)
" Due to a lack of means, the dosage of homocysteine and methylmalonic acid had not been carried out to confirm the vitamin B12 deficiency in the patient whose level was less than 200ng/mL."1.91[Cross-Sectional Study on Adverse Effects of Metformin Hydrochloride on 130 Patients Type 2 Diabetic Admitted to Medical Center and Diabetes Home of Sidi Bel-Abbès]. ( Belakhdar, K; Kraroubi, A; Matmour, D; Sakouhi, M, 2023)
"High daily dosage (≥1500 mg/day) played an important role in metformin-associated vitamin B12 deficiency while not contributing to the risk of PN."1.91The effects of daily dose and treatment duration of metformin on the prevalence of vitamin B12 deficiency and peripheral neuropathy in Chinese patients with type 2 diabetes mellitus: A multicenter cross-sectional study. ( Bi, Y; Chen, S; Gao, L; Ji, L; Lei, M; Liu, F; Liu, X; Lu, Y; Ran, X; Shen, X; Su, Q; Wang, Y; Zhao, D, 2023)
"The prevalence of vitamin B12 deficiency among T2DM patients on metformin treatment in this study was high (48."1.91Prevalence of vitamin B12 deficiency in type 2 diabetic patients taking metformin, a cross-sectional study in primary healthcare. ( Al Quran, T; Al-Momani, R; Allan, H; Alsaleh, M; Aqel, HT; Bataineh, Z; Khader, A, 2023)
"45 (93."1.91Does Metformin in Different Doses Cause Vitamin B12 Deficiency? A cross-Sectional Study. ( Mohammed Ismail, S, 2023)
"To describe the prevalence of vitamin B12 deficiency among Jordanian patients with type 2 diabetes mellitus treated with metformin and to compare the findings with those who did not receive metformin."1.72Influence of metformin intake on serum vitamin B12 levels in patients with type 2 diabetes mellitus. ( Al-Fawaeir, S; Al-Odat, I, 2022)
"Vitamin B12 deficiency was classified based on the Fedosov age-normalized wellness quotient."1.62Profiling immuno-metabolic mediators of vitamin B12 deficiency among metformin-treated type 2 diabetic patients in Ghana. ( Afranie, BO; Amoani, B; Boakye, D; Dadzie, RE; Kwarteng, A; Laing, EF; Mantey, R; Opoku, S; Owiredu, EW; Sakyi, SA, 2021)
"Our findings show a low prevalence of vitamin B12 deficiency in type 2 diabetic patients taking metformin."1.62Vitamin B12 deficiency in patients with type 2 diabetes mellitus using metformin and the associated factors in Saudi Arabia. ( Al Saeed, RR; Baraja, MA, 2021)
"The prevalence of vitamin B12 deficiency is considerable among diabetic patients on metformin therapy."1.56Vitamin B12 Deficiency in Diabetic Patients on Metformin Therapy: A cross-sectional study from Oman. ( Al Mahrezi, AM; Al-Gahhafi, M; Al-Hamdi, A; Al-Mamari, A; Al-Roshdi, S; Jaju, S, 2020)
"The diagnosis of vitamin B12 deficiency due to long-term metformin was suspected while excluding other potential causes."1.56[Oral diagnosis of vitamin B12 deficiency due to long-term metformin treatment: a case report]. ( Attiya, N, 2020)
"Vitamin B12 deficiency was recorded at ≤187 pg/ml."1.51Vitamin B12 status and peripheral neuropathy in patients with type 2 diabetes mellitus. ( Ashor, AW; Khalaf, KM; Khudhair, MS, 2019)
"Serum vitamin B12 deficiency occurred in 22."1.51Association between metformin dose and vitamin B12 deficiency in patients with type 2 diabetes. ( Ahn, CW; Fang, S; Kim, J; Lee, HS; Park, JS, 2019)
"To compare the prevalence of vitamin B12 deficiency and peripheral neuropathy between two groups of type 2 diabetes mellitus (T2DM) patients treated with or without metformin, and to determine factors associated with vitamin B12 deficiency therapy and dietary intake of vitamin B12."1.48The association of metformin use with vitamin B12 deficiency and peripheral neuropathy in Saudi individuals with type 2 diabetes mellitus. ( Abdelhay, O; Abuhaimed, SN; Al-Asmari, AK; AlHarbi, NG; Alharbi, TJ; Alkhashan, HI; AlRasheed, AN; Bin Rsheed, AM; Mohammed, N; Tourkmani, AM, 2018)
"Assessment of the impact of type 2 diabetes (T2DM) and metformin use on vitamin B12 (VB12) associated biomarkers and their suitability to represent VB12 supply."1.48Impact of type 2 Diabetes and Metformin use on Vitamin B12 Associated Biomarkers - an Observational Study. ( Hersberger, KE; Metaxas, C; Rudofsky, G; Walter, PN; Zurwerra, C, 2018)
"Metformin treatment is associated with a decrease of serum vitamin B12, but whether this reflects tissue B12 deficiency is controversial."1.48Long-term treatment with metformin in type 2 diabetes and methylmalonic acid: Post hoc analysis of a randomized controlled 4.3year trial. ( Kooy, A; Lehert, P; Out, M; Schalkwijk, CA; Stehouwer, CDA, 2018)
"Veterans 50 years or older with either type 2 diabetes and long-term metformin therapy (n = 3,687) or without diabetes and no prescription for metformin (n = 13,258)."1.46Long-term Metformin Therapy and Monitoring for Vitamin B12 Deficiency Among Older Veterans. ( Elliott, JL; Holland, NW; Johnson, TM; Kancherla, V; Khakharia, A; Oakley, GP; Patel, BB; Phillips, LS; Vaughan, CP, 2017)
"Clinical and laboratory data of type 2 diabetes mellitus patients whose vitamin B12 status was evaluated in the last decade (2005 - 2016) were analyzed."1.46[Vitamin B12 Deficiency in Type 2 Diabetes Mellitus]. ( Azinheira, J; Capitão, RM; Sequeira Duarte, J; Tavares Bello, C; Vasconcelos, C, 2017)
"469 ambulatory type 2 diabetes patients (mean diabetes duration 10."1.46Vitamin B12 deficiency is associated with cardiovascular autonomic neuropathy in patients with type 2 diabetes. ( Fleischer, J; Hansen, CS; Jensen, JS; Jørgensen, ME; Ridderstråle, M; Vistisen, D, 2017)
"Current evidence linking vitamin B12 deficiency with metformin use is inconsistent."1.46Metformin Use and Vitamin B12 Deficiency: Untangling the Association. ( Elizondo-Plazas, A; González-González, JG; González-Velázquez, C; Montes-Villarreal, J; Rodríguez-Gutiérrez, R; Rodríguez-Velver, KV; Salcido-Montenegro, A, 2017)
"The prevalence of vitamin B12 deficiency (defined by concentrations <150 pmol/L) was determined."1.43Vitamin B12 deficiency in metformin-treated type-2 diabetes patients, prevalence and association with peripheral neuropathy. ( Ahmed, MA; Muntingh, G; Rheeder, P, 2016)
" Long-term use of metformin has been associated with subsequent reductions in vitamin B12 concentrations."1.43Multivitamin Use and Serum Vitamin B12 Concentrations in Older-Adult Metformin Users in REGARDS, 2003-2007. ( Cashion, WT; Garn, JV; Judd, SE; Kancherla, V; Oakley, GP; Odewole, O; Williamson, RS; Zakai, NA, 2016)
"In an observational study, among 550 type 2 diabetes patients using metformin, cobalamin and holotranscobalamin (holoTCII) levels were measured at the annual diabetes checkup, and deficiencies were defined as <148 and <21 pmol/L, respectively."1.42Cobalamin status and its relation with depression, cognition and neuropathy in patients with type 2 diabetes mellitus using metformin. ( Beulens, JW; Biemans, E; Cuellar Renteria, VG; Hart, HE; Kooijman-Buiting, AM; Rutten, GE, 2015)
"This cross-sectional study among 550 type 2 diabetes patients using metformin (mean daily dose 1,306 mg; mean duration 64 months) was conducted in four primary care centers in Utrecht, the Netherlands."1.42Influence of duration and dose of metformin on cobalamin deficiency in type 2 diabetes patients using metformin. ( Beulens, JW; Hart, HE; Kooijman-Buiting, AM; Kuijs, R; Rutten, GE, 2015)
"However, the associated vitamin B12 deficiency is less well known."1.40Long term use of metformin leading to vitamin B 12 deficiency. ( Tan, LK; Tung, ML, 2014)
" Positive correlations were observed between B 12 concentration, age and dosage and duration of metformin treatment."1.40The prevalence of low vitamin B12 status in people with type 2 diabetes receiving metformin therapy in New Zealand--a clinical audit. ( Haeusler, S; Krebs, JD; Parry-Strong, A, 2014)
"The prevalence rates of vitamin B12 deficiency (<191 ng/L) were 27% and 12% in Europeans and Indians, respectively and higher in metformin treated type 2 diabetes patients."1.40Vitamin B12 deficiency is associated with adverse lipid profile in Europeans and Indians with type 2 diabetes. ( Adaikalakoteswari, A; Anjana, RM; Gokulakrishnan, K; Jayashri, R; Kumar, S; McTernan, PG; Mohan, V; Patel, V; Pradeepa, R; Saravanan, P; Sukumar, N; Tripathi, G; Venkataraman, H, 2014)
"Vitamin B12 deficiency was defined as vitamin B12 ≤ 300 pg/mL without folate deficiency (folate > 4 ng/mL)."1.40Association of vitamin B12 deficiency and metformin use in patients with type 2 diabetes. ( Ahn, YB; Han, KD; Kim, HS; Ko, SH; Park, YM; Song, KH, 2014)
"The prevalence of vitamin B12 deficiency in the metformin-treated patients was significantly higher in the S+M group compared with the I+M group (17."1.40Higher prevalence of metformin-induced vitamin B12 deficiency in sulfonylurea combination compared with insulin combination in patients with type 2 diabetes: a cross-sectional study. ( Ahn, YB; Kang, D; Ko, SH; Lim, TS; Park, YM; Yun, JS, 2014)
"Metformin use was associated with impaired cognitive performance."1.39Increased risk of cognitive impairment in patients with diabetes is associated with metformin. ( Ames, D; Boundy, K; Brodaty, H; Bush, AI; Carne, RP; Ellis, KA; Faux, NG; Kotowicz, MA; Mander, AG; Martins, R; Moore, EM; Rowe, C; Szoeke, C; Watters, DA; Woodward, M, 2013)
"We enrolled 114 outdoor patients of type 2 diabetes mellitus currently on metformin for atleast 12 months, by consecutive sampling, and 105 age and sex matched patients taken as control."1.39Prevalence of vitamin B12 deficiency in patients of type 2 diabetes mellitus on metformin: a case control study from Pakistan. ( bin Usman, H; Iftikhar, R; Iqbal, Z; Kamran, SM; Qadir, A, 2013)
"Vitamin B12 deficiency was defined as serum B12 concentrations <150 pmol/l."1.39Vitamin B12 deficiency and the lack of its consequences in type 2 diabetes patients using metformin. ( Bilo, HJ; de Groot-Kamphuis, DM; Groenier, KH; Houweling, ST; Kleefstra, N; van Dijk, PR, 2013)
"Metformin has been available in the United States for approximately fifteen years."1.36Metformin-induced vitamin B12 deficiency presenting as a peripheral neuropathy. ( Bell, DS, 2010)
"Metformin use was clearly associated with lower vitamin B12 levels."1.36Association between vitamin B12 levels and mortality in hospitalized older adults. ( Malnick, S; Shavit, Y; Stern, F; Tal, S, 2010)
"Metformin is an invaluable hypoglycaemic agent."1.33Metformin-related vitamin B12 deficiency. ( Dai, LK; Jean, W; Liu, KW, 2006)
"There were eight (14%) patients with vitamin B12 deficiency and three among them had hyperhomocysteinaemia."1.33[Factors influencing homocysteineamia in type 2 diabetic patients]. ( Bouzid, C; Essais, O; Ibrahim, H; Machghoul, S; Ouertani, H; Ouni, Z; Zidi, B, 2006)

Research

Studies (129)

TimeframeStudies, this research(%)All Research%
pre-19905 (3.88)18.7374
1990's1 (0.78)18.2507
2000's23 (17.83)29.6817
2010's68 (52.71)24.3611
2020's32 (24.81)2.80

Authors

AuthorsStudies
Taş, Ö1
Kontbay, T1
Dogan, O1
Kose, E1
Berberoglu, M1
Siklar, Z1
Tumer, L1
Eminoglu, FT1
Khattab, R1
Albannawi, M1
Alhajjmohammed, D1
Alkubaish, Z1
Althani, R1
Altheeb, L1
Ayoub, H1
Mutwalli, H1
Altuwajiry, H1
Al-Sheikh, R1
Purayidathil, T1
Abuzaid, O1
Bell, DSH1
Alhaji, JH1
Pratama, S1
Lauren, BC1
Wisnu, W1
Ciftel, S1
Bilen, A1
Yanıkoglu, ND1
Mercantepe, F1
Dayanan, R1
Ciftel, E1
Capoglu, I1
Kasalı, K1
Bilen, H1
Sakouhi, M3
Matmour, D3
Belakhdar, K3
Kraroubi, A3
Al-Fawaeir, S1
Al-Odat, I1
Yao, L1
Wang, Y2
Qin, S1
Zhu, S1
Wu, L1
Horrany, N1
Abu Dahoud, W1
Moallem, Y1
Hajouj, T1
Zreik, M1
Blum, A1
Wee, AKH1
Sultana, R1
Mohammed Ismail, S1
Dinesh, D1
Lee, JS1
Scott, TM1
Tucker, KL1
Palacios, N1
Gao, L1
Ran, X1
Liu, X1
Shen, X1
Chen, S1
Liu, F1
Zhao, D1
Bi, Y1
Su, Q1
Lu, Y1
Lei, M1
Ji, L1
Jin, HY1
Lee, KA1
Kim, YJ1
Gwak, IS1
Park, TS1
Yeom, SW1
Kim, JS1
Chen, M1
Shu, Y1
Li, Q1
Kang, Z1
Liu, T1
Zhou, H1
Huang, W1
Zhang, W1
Hussein Abed, H1
Mousa Ali, A1
Ghdhban Al-Ziaydi, A1
Hurley-Kim, K1
Vu, CH1
Dao, NM1
Tran, LC1
McBane, S1
Lee, J1
Sepassi, A1
Al Quran, T1
Khader, A1
Allan, H1
Al-Momani, R1
Aqel, HT1
Alsaleh, M1
Bataineh, Z1
Khalaf, KM1
Khudhair, MS1
Ashor, AW1
Herbert, L1
Ribar, A1
Mitchell, S1
Phillips, C1
Kim, J1
Ahn, CW1
Fang, S1
Lee, HS1
Park, JS1
Lafaurie, M1
Montastruc, F1
Sugawara, K1
Okada, Y1
Hirota, Y1
Sakaguchi, K1
Ogawa, W1
Cherulil, SJ1
Chafekar, ND1
Babaliche, P1
Bhattacharyya, A1
Das, SL1
Basu, DA1
Al-Hamdi, A1
Al-Gahhafi, M1
Al-Roshdi, S1
Jaju, S1
Al-Mamari, A1
Al Mahrezi, AM1
Kanti, G1
Anadol-Schmitz, E1
Bobrov, P1
Strassburger, K1
Kahl, S1
Zaharia, OP1
Sarabhai, T1
Karusheva, Y1
Burkart, V1
Markgraf, DF1
Trenkamp, S1
Ziegler, D1
Szendroedi, J1
Roden, M1
Shivaprasad, C1
Gautham, K1
Ramdas, B1
Gopaldatta, KS1
Nishchitha, K1
Gökışık, MT1
Uyar, S1
Serra, MC1
Kancherla, V3
Khakharia, A2
Allen, LL1
Phillips, LS2
Rhee, MK1
Wilson, PWF1
Vaughan, CP2
D'Agostino, S1
Limongelli, L1
Favia, G1
Dolci, M1
Al Saeed, RR1
Baraja, MA1
Attiya, N1
Sakyi, SA1
Laing, EF1
Mantey, R1
Kwarteng, A1
Owiredu, EW1
Dadzie, RE1
Amoani, B1
Opoku, S1
Afranie, BO1
Boakye, D1
Camarero-Shelly, M1
Rodríguez-Gutiérrez, R1
Montes-Villarreal, J1
Rodríguez-Velver, KV1
González-Velázquez, C1
Salcido-Montenegro, A1
Elizondo-Plazas, A1
González-González, JG1
Out, M1
Kooy, A2
Lehert, P2
Schalkwijk, CA1
Stehouwer, CDA1
Crandall, JP2
Tavares Bello, C1
Capitão, RM1
Sequeira Duarte, J1
Azinheira, J1
Vasconcelos, C1
Metaxas, C1
Zurwerra, C1
Rudofsky, G1
Hersberger, KE1
Walter, PN1
Ströhle, A1
Obeid, R2
Miller, JW1
Alharbi, TJ1
Tourkmani, AM1
Abdelhay, O1
Alkhashan, HI1
Al-Asmari, AK1
Bin Rsheed, AM1
Abuhaimed, SN1
Mohammed, N1
AlRasheed, AN1
AlHarbi, NG1
Mendonça, FM1
Leitão, MJ1
Faria-Costa, G1
Pires Da Rosa, G1
Almeida, J1
Porter, KM1
Ward, M1
Hughes, CF1
O'Kane, M1
Hoey, L1
McCann, A1
Molloy, AM1
Cunningham, C1
Casey, MC1
Tracey, F1
Strain, S1
McCarroll, K1
Laird, E1
Gallagher, AM1
McNulty, H1
Gatford, KL1
Houda, CM1
Lu, ZX1
Coat, S1
Baghurst, PA1
Owens, JA1
Sikaris, K1
Rowan, JA1
Hague, WM1
Chen, KW1
Moore, EM1
Mander, AG1
Ames, D1
Kotowicz, MA1
Carne, RP1
Brodaty, H1
Woodward, M1
Boundy, K1
Ellis, KA1
Bush, AI1
Faux, NG1
Martins, R1
Szoeke, C1
Rowe, C1
Watters, DA1
Sato, Y1
Ouchi, K1
Funase, Y1
Yamauchi, K1
Aizawa, T1
de Groot-Kamphuis, DM1
van Dijk, PR1
Groenier, KH1
Houweling, ST1
Bilo, HJ1
Kleefstra, N1
Tung, ML1
Tan, LK1
Iftikhar, R1
Kamran, SM1
Qadir, A1
Iqbal, Z1
bin Usman, H1
Beulens, JW2
Hart, HE2
Kuijs, R1
Kooijman-Buiting, AM2
Rutten, GE2
Sánchez, H1
Masferrer, D1
Lera, L1
Arancibia, E1
Angel, B1
Albala, C1
Ham, AC1
Enneman, AW1
van Dijk, SC1
Oliai Araghi, S1
Swart, KM1
Sohl, E1
van Wijngaarden, JP1
van der Zwaluw, NL1
Brouwer-Brolsma, EM1
Dhonukshe-Rutten, RA1
van Schoor, NM1
van der Cammen, TJ1
Zillikens, MC1
de Jonge, R1
Lips, P1
de Groot, LC1
van Meurs, JB1
Uitterlinden, AG1
Witkamp, RF1
Stricker, BH1
van der Velde, N1
Sugrue, A2
Egan, A1
O'Regan, A1
Ko, SH5
Ahn, YB2
Song, KH1
Han, KD1
Park, YM2
Kim, HS1
Charkin, S1
Adaikalakoteswari, A1
Jayashri, R1
Sukumar, N1
Venkataraman, H1
Pradeepa, R1
Gokulakrishnan, K1
Anjana, RM1
McTernan, PG1
Tripathi, G1
Patel, V1
Kumar, S1
Mohan, V1
Saravanan, P1
Kang, D1
Yun, JS1
Lim, TS1
Biemans, E1
Cuellar Renteria, VG1
Doogue, MP1
Haeusler, S2
Parry-Strong, A2
Krebs, JD1
Niafar, M1
Hai, F1
Porhomayon, J1
Nader, ND1
Purchiaroni, F1
Galli, G1
Annibale, B1
Aroda, VR1
Edelstein, SL1
Goldberg, RB1
Knowler, WC1
Marcovina, SM1
Orchard, TJ1
Bray, GA1
Schade, DS1
Temprosa, MG1
White, NH1
Fogelman, Y1
Kitai, E1
Blumberg, G1
Golan-Cohen, A1
Rapoport, M1
Carmeli, E1
Holmes, D1
Cruz, G1
Maeshiro, K1
Langdana, F1
Weatherall, M1
Krebs, J1
Garn, JV2
Zakai, NA1
Williamson, RS2
Cashion, WT1
Odewole, O1
Judd, SE1
Oakley, GP3
Hansen, CS1
Jensen, JS1
Ridderstråle, M1
Vistisen, D1
Jørgensen, ME1
Fleischer, J1
Ahmed, MA1
Muntingh, G1
Rheeder, P1
Andrade, C1
Elliott, JL1
Patel, BB1
Holland, NW1
Johnson, TM1
Musarrat, K1
Kalathil, D1
Varughese, GI3
Acezat Oliva, J1
Simó Cruzet, E1
Esteban Jiménez, O1
González Rubio, F1
Buñuel Granados, JM1
Navarro Pemán, C1
Hidalgo, SF1
Prieto de Paula, JM1
Salado Valdivieso, I1
Garcia, A1
Tisman, G1
Fernández Fernández, FJ1
Varela Manso, M1
Bell, DS1
Tal, S1
Shavit, Y1
Stern, F1
Malnick, S1
de Jager, J1
Wulffelé, MG1
van der Kolk, J1
Bets, D1
Verburg, J1
Donker, AJ1
Stehouwer, CD1
Vidal-Alaball, J1
Butler, CC1
Bundrick, JB1
Litin, SC1
Hatziisaak, T1
Sando, KR1
Barboza, J1
Willis, C1
Taylor, J1
Moore, E1
Mander, A1
Watters, D1
Mariño Suárez, JE1
Izquierdo Pradas, L1
Milán Vegas, A1
Reinstatler, L1
Qi, YP1
Mazokopakis, EE1
Starakis, IK1
Kumthekar, AA1
Gidwani, HV1
Kumthekar, AB1
Pierce, SA1
Chung, AH1
Black, KK1
Long, AN1
Atwell, CL1
Yoo, W1
Solomon, SS1
Ouvarovskaia, V1
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Torrente, JI1
Pinilla, M1
Aranda, C1
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Yamasaki, Y1
Kuroda, A1
Andrès, E3
Noel, E2
Goichot, B1
Heine, RJ1
Alston, TA1
Fujita, H1
Narita, T1
Yoshioka, N1
Hosoba, M1
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Blicklé, JF1
Buvat, DR1
Podgorski, GP1
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Dai, LK1
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Clinical Trials (8)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prospective Study on Diabetes Mellitus and Its Complications in Newly Diagnosed Adult Patients[NCT01055093]2,000 participants (Anticipated)Observational2005-09-30Recruiting
Study of Metformin HCL in Patients With Type 2 Diabetes Intensively Treated With Insulin: a Treatment Strategy for Insulin Resistance in Type 2 Diabetes Mellitus: a Randomized Controlled Trial[NCT00375388]Phase 3400 participants Interventional1998-01-31Completed
Efficacy Study of Folic Acid Supplementation on Homocysteine Levels in Adolescent Epileptics Taking Antiepileptic Drugs: A Single Blind Randomized Controlled Clinical Trial[NCT02318446]Phase 336 participants (Anticipated)Interventional2015-03-31Not yet recruiting
Diabetes Prevention Program Outcomes Study[NCT00038727]Phase 32,779 participants (Actual)Interventional2002-09-30Active, not recruiting
Phase II Randomized Study of Neoadjuvant Metformin Plus Letrozole vs Placebo Plus Letrozole for ER-positive Postmenopausal Breast Cancer[NCT01589367]Phase 2208 participants (Actual)Interventional2012-05-31Completed
Cross-sectional Study of the Association of Muscle Strength, Tinetti Test (POMA) Scores and Other Predictor Variables With Serum Vitamin Levels (Vitamin B12, Vitamin D and Folate) in Elderly Patients With Type 2 Diabetes Mellitus[NCT03376490]56 participants (Actual)Observational2012-01-01Completed
A Randomized Trial of Metformin as Adjunct Therapy for Overweight Adolescents With Type 1 Diabetes[NCT01881828]Phase 3164 participants (Actual)Interventional2013-09-30Completed
The Benefits of Vitamin B Combination as Add on Therapy in the Management of Painful Diabetic Neuropathy Patient: Randomized Clinical Trial[NCT04689971]Phase 2/Phase 360 participants (Anticipated)Interventional2020-11-03Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Development of Diabetes.

Primary outcome for years 2002-2008 defined according to American Diabetes Association criteria (fasting plasma glucose level >= 126 mg/dL [7.0 mmol/L] or 2-hour plasma glucose >= 200 mg/dL [11.1 mmol/L], after a 75 gram oral glucose tolerance test (OGTT), and confirmed with a repeat test). (NCT00038727)
Timeframe: Outcomes were assessed from 1996-2008 (approximately 12 years including 6 years of DPP).

Interventiondiabetes incidence (cases per 100 person (Number)
1 Original Lifestyle5.3
2 Original Metformin6.4
3 Original Placebo7.8

Mortality

All cause-mortality through clinic reports and National Death Index search (NCT00038727)
Timeframe: Outcomes were assessed throughout follow-up from 1996 to 2022. National Death Index search conducted in 2019 using early release data as of Dec 2018.

InterventionParticipants (Count of Participants)
1 Original Lifestyle158
2 Original Metformin152
3 Original Placebo143

Prevalence of Aggregate Microvascular Complication

Aggregate microvascular disease is defined as the average prevalence of 3 components: (1) retinopathy measured by photography (ETDRS of 20 or greater); (2) neuropathy detected by Semmes Weinstein 10 gram monofilament, and (3) nephropathy based on estimated glomerular filtration rate (eGFR by chronic kidney disease (CKD-Epi) equation ) (<45 ml/min, confirmed) and albumin-to-creatinine ratio in spot urine (> 30mg/gm, confirmed). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

Interventionaverage percentage of participants (Number)
1 Original Lifestyle11.3
2 Original Metformin13
3 Original Placebo12.4

Subclinical Atherosclerosis

Measured using coronary artery calcification (CAC). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

,,
InterventionCAC geometric mean in AU (Geometric Mean)
MenWomen
1 Original Lifestyle70.16.0
2 Original Metformin40.26.1
3 Original Placebo63.75.3

Change in Body Composition

Change in percent body fat (NCT01881828)
Timeframe: 0-26 weeks

Interventionpercentage of change (Mean)
Metformin-0
Oral Placebo1

Change in Body Mass Index (BMI)

(NCT01881828)
Timeframe: 0-26 weeks

Interventionpercentile (Mean)
Metformin-1
Oral Placebo1

Change in Total Daily Dose of Insulin (TDI) Per kg

(NCT01881828)
Timeframe: 0-26 weeks

Interventioninsulin per kg (Mean)
Metformin-0.1
Oral Placebo-0.0

Change in Waist Circumference

(NCT01881828)
Timeframe: 0-26 weeks

Interventioncentimeters (Mean)
Metformin-0
Oral Placebo1

Change in Blood Pressure

(NCT01881828)
Timeframe: 0-26 weeks

,
Interventionmm Hg (Mean)
Change in SystolicChange in Diastolic
Metformin00
Oral Placebo-00

Change in Hemoglobin A1c From Baseline to 26 Weeks, Adjusted for Baseline Hemoglobin A1c.

Hemoglobin A1c is a measure of glycemic control over approximately the past 3 months (NCT01881828)
Timeframe: 0-26 weeks

,
Interventionpercentage (Mean)
HbA1cChange from Baseline to 26 Weeks
Metformin9.00.2
Oral Placebo8.90.2

Change in Hemoglobin A1c From Baseline to 26 Weeks, Adjusted for Baseline Hemoglobin A1c.

Hemoglobin A1c is a measure of glycemic control over approximately the past 3 months (NCT01881828)
Timeframe: 0-26 weeks

,
Interventionpercentage of participants (Number)
HbA1c Decrease ≥0.5%HbA1c Increase ≥0.5%HbA1c <7.5%
Metformin19443
Oral Placebo18354

Change in Serum Lipids

(NCT01881828)
Timeframe: 0-26 weeks

,
Interventionmg/dL (Mean)
Change in LDLChange in VLDLChange in HDLChange in TriglyceridesChange in Total Cholesterol
Metformin-6-0-04-5
Oral Placebo21-163

Reviews

11 reviews available for metformin and Vitamin B 12 Deficiency

ArticleYear
Metformin-Induced Vitamin B12 Deficiency among Type 2 Diabetes Mellitus' Patients: A Systematic Review.
    Current diabetes reviews, 2023, Volume: 19, Issue:4

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12; Vitamin B 12 Defici

2023
Metformin-induced vitamin B12 deficiency can cause or worsen distal symmetrical, autonomic and cardiac neuropathy in the patient with diabetes.
    Diabetes, obesity & metabolism, 2022, Volume: 24, Issue:8

    Topics: Aged; Calcium; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Peripheral Nervous

2022
Vitamin B12 Deficiency in Patients with Diabetes on Metformin: Arab Countries.
    Nutrients, 2022, May-13, Volume: 14, Issue:10

    Topics: Arabs; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficiency

2022
The efficacy of vitamin B
    Diabetes & metabolic syndrome, 2022, Volume: 16, Issue:10

    Topics: Diabetes Mellitus, Type 2; Dietary Supplements; Homocysteine; Humans; Hypoglycemic Agents; Metformin

2022
[Interest of a pharmacovigilance medical consultation: Example of metformin-induced-vitamin B12 deficiency].
    Presse medicale (Paris, France : 1983), 2019, Volume: 48, Issue:11 Pt 1

    Topics: Adverse Drug Reaction Reporting Systems; Aged; Anemia, Megaloblastic; Diabetes Mellitus, Type 2; Dru

2019
Proton Pump Inhibitors, H2-Receptor Antagonists, Metformin, and Vitamin B-12 Deficiency: Clinical Implications.
    Advances in nutrition (Bethesda, Md.), 2018, 07-01, Volume: 9, Issue:4

    Topics: Histamine H2 Antagonists; Homocysteine; Humans; Metformin; Methylmalonic Acid; Nutritional Status; P

2018
The role of metformin on vitamin B12 deficiency: a meta-analysis review.
    Internal and emergency medicine, 2015, Volume: 10, Issue:1

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Treatment Outcome; Vitamin B 12;

2015
Recent diabetes issues affecting the primary care clinician.
    Southern medical journal, 2011, Volume: 104, Issue:6

    Topics: Adamantane; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Dipeptides; Dipeptidyl-Peptidase IV

2011
Recommendations for diagnosis and management of metformin-induced vitamin B12 (Cbl) deficiency.
    Diabetes research and clinical practice, 2012, Volume: 97, Issue:3

    Topics: Humans; Hypoglycemic Agents; Metformin; Models, Biological; Practice Guidelines as Topic; Prevalence

2012
[Adverse effect of biguanides].
    Nihon rinsho. Japanese journal of clinical medicine, 2002, Volume: 60 Suppl 9

    Topics: Acidosis, Lactic; Biguanides; Diabetes Mellitus, Type 2; Gastrointestinal Diseases; Humans; Hypoglyc

2002
Mecobalamin.
    Expert opinion on investigational drugs, 2008, Volume: 17, Issue:6

    Topics: Aged; Alprostadil; Animals; Cobamides; Coenzymes; Diabetic Neuropathies; Drug Administration Routes;

2008

Trials

5 trials available for metformin and Vitamin B 12 Deficiency

ArticleYear
Vitamin B12 and homocysteine status during pregnancy in the metformin in gestational diabetes trial: responses to maternal metformin compared with insulin treatment.
    Diabetes, obesity & metabolism, 2013, Volume: 15, Issue:7

    Topics: Adult; Biomarkers; Cohort Studies; Diabetes, Gestational; Female; Homocysteine; Humans; Hyperhomocys

2013
Long-term Metformin Use and Vitamin B12 Deficiency in the Diabetes Prevention Program Outcomes Study.
    The Journal of clinical endocrinology and metabolism, 2016, Volume: 101, Issue:4

    Topics: Adult; Aged; Anemia; Diabetes Mellitus, Type 2; Female; Homocysteine; Humans; Hypoglycemic Agents; M

2016
Vitamin B12 screening in metformin-treated diabetics in primary care: were elderly patients less likely to be tested?
    Aging clinical and experimental research, 2017, Volume: 29, Issue:2

    Topics: Age Factors; Aged; Comorbidity; Diabetes Mellitus, Type 2; Female; Glycated Hemoglobin; Healthcare D

2017
Sublingual vitamin B12 compared to intramuscular injection in patients with type 2 diabetes treated with metformin: a randomised trial.
    The New Zealand medical journal, 2016, Jun-10, Volume: 129, Issue:1436

    Topics: Administration, Sublingual; Aged; Diabetes Mellitus, Type 2; Dietary Supplements; Female; Humans; Hy

2016
Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial.
    BMJ (Clinical research ed.), 2010, May-20, Volume: 340

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Folic Acid; Homocysteine; Humans; Hypoglycemic Agents; Long

2010
Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial.
    BMJ (Clinical research ed.), 2010, May-20, Volume: 340

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Folic Acid; Homocysteine; Humans; Hypoglycemic Agents; Long

2010
Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial.
    BMJ (Clinical research ed.), 2010, May-20, Volume: 340

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Folic Acid; Homocysteine; Humans; Hypoglycemic Agents; Long

2010
Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial.
    BMJ (Clinical research ed.), 2010, May-20, Volume: 340

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Folic Acid; Homocysteine; Humans; Hypoglycemic Agents; Long

2010

Other Studies

113 other studies available for metformin and Vitamin B 12 Deficiency

ArticleYear
Does Metformin Treatment in Pediatric Population Cause Vitamin B12 Deficiency?
    Klinische Padiatrie, 2022, Volume: 234, Issue:4

    Topics: Adolescent; Child; Diabetes Mellitus, Type 2; Female; Homocysteine; Humans; Male; Metabolic Syndrome

2022
Safety update: metformin and vitamin B
    Drug and therapeutics bulletin, 2022, Volume: 60, Issue:9

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12; Vitamin B 12 Defici

2022
Vitamin B12, folic acid, vitamin D, iron, ferritin, magnesium, and HbA1c levels in patients with diabetes mellitus and dental prosthesis.
    European review for medical and pharmacological sciences, 2022, Volume: 26, Issue:19

    Topics: Case-Control Studies; Dental Prosthesis; Diabetes Mellitus; Ferritins; Folic Acid; Glycated Hemoglob

2022
[Cross-Sectional Study on Adverse Effects of Metformin Hydrochloride on 130 Patients Type 2 Diabetic Admitted to Medical Center and Diabetes Home of Sidi Bel-Abbès].
    Annales pharmaceutiques francaises, 2023, Volume: 81, Issue:4

    Topics: Acidosis, Lactic; Adult; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Drug-Related Side Effec

2023
[Cross-Sectional Study on Adverse Effects of Metformin Hydrochloride on 130 Patients Type 2 Diabetic Admitted to Medical Center and Diabetes Home of Sidi Bel-Abbès].
    Annales pharmaceutiques francaises, 2023, Volume: 81, Issue:4

    Topics: Acidosis, Lactic; Adult; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Drug-Related Side Effec

2023
[Cross-Sectional Study on Adverse Effects of Metformin Hydrochloride on 130 Patients Type 2 Diabetic Admitted to Medical Center and Diabetes Home of Sidi Bel-Abbès].
    Annales pharmaceutiques francaises, 2023, Volume: 81, Issue:4

    Topics: Acidosis, Lactic; Adult; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Drug-Related Side Effec

2023
[Cross-Sectional Study on Adverse Effects of Metformin Hydrochloride on 130 Patients Type 2 Diabetic Admitted to Medical Center and Diabetes Home of Sidi Bel-Abbès].
    Annales pharmaceutiques francaises, 2023, Volume: 81, Issue:4

    Topics: Acidosis, Lactic; Adult; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Drug-Related Side Effec

2023
Influence of metformin intake on serum vitamin B12 levels in patients with type 2 diabetes mellitus.
    PloS one, 2022, Volume: 17, Issue:12

    Topics: Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Middle A

2022
The antidiabetic drug metformin aids bacteria in hijacking vitamin B12 from the environment through RcdA.
    Communications biology, 2023, 01-24, Volume: 6, Issue:1

    Topics: Animals; Caenorhabditis elegans; Diabetes Mellitus, Type 2; Escherichia coli; Humans; Hypoglycemic A

2023
The Effect of Metformin on Vitamin B12 Deficiency and Stroke.
    The Israel Medical Association journal : IMAJ, 2023, Volume: 25, Issue:2

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Ischemic Stroke; Metformin; Prospective Stud

2023
Determinants of vitamin B12 deficiency in patients with type-2 diabetes mellitus - A primary-care retrospective cohort study.
    BMC primary care, 2023, 04-20, Volume: 24, Issue:1

    Topics: Aged; Aged, 80 and over; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Folic Acid; Humans; Hyp

2023
Does Metformin in Different Doses Cause Vitamin B12 Deficiency? A cross-Sectional Study.
    Cellular and molecular biology (Noisy-le-Grand, France), 2023, Feb-28, Volume: 69, Issue:2

    Topics: Cross-Sectional Studies; Diabetes Mellitus, Type 2; Humans; Metformin; Vitamin B 12; Vitamin B 12 De

2023
Association between Acid-Lowering Agents, Metformin, and Vitamin B12 among Boston-Area Puerto Ricans.
    The Journal of nutrition, 2023, Volume: 153, Issue:8

    Topics: Adult; Diabetes Mellitus, Type 2; Histamine; Histamine H2 Antagonists; Humans; Hypoglycemic Agents;

2023
The effects of daily dose and treatment duration of metformin on the prevalence of vitamin B12 deficiency and peripheral neuropathy in Chinese patients with type 2 diabetes mellitus: A multicenter cross-sectional study.
    Journal of diabetes, 2023, Volume: 15, Issue:9

    Topics: Cross-Sectional Studies; Diabetes Mellitus, Type 2; Duration of Therapy; East Asian People; Humans;

2023
Bidirectional association between diabetic peripheral neuropathy and vitamin B12 deficiency: Two longitudinal 9-year follow-up studies using a national sample cohort.
    Primary care diabetes, 2023, Volume: 17, Issue:5

    Topics: Cohort Studies; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Follow-Up Studies; Humans; Hypogly

2023
Bacteroides ovatus accelerates metformin-induced vitamin B12 deficiency in type 2 diabetes patients by accumulating cobalamin.
    NPJ biofilms and microbiomes, 2023, 07-24, Volume: 9, Issue:1

    Topics: Animals; Diabetes Mellitus, Type 2; Homocysteine; Humans; Metformin; Mice; Vitamin B 12; Vitamin B 1

2023
Evaluation level of serum vitamin B12 in Iraqi patients with diabetes mellitus type 2, who used the metformin drug as a hypoglycemic agent.
    Pakistan journal of pharmaceutical sciences, 2023, Volume: 36, Issue:2

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Iraq; Metformin; Vitamin B 12; Vitamin B 12

2023
Effect of Metformin Use on Vitamin B12 Deficiency Over Time (EMBER): A Real-World Evidence Database Study.
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2023, Volume: 29, Issue:11

    Topics: Adolescent; Adult; Aged; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Populati

2023
Prevalence of vitamin B12 deficiency in type 2 diabetic patients taking metformin, a cross-sectional study in primary healthcare.
    Frontiers in endocrinology, 2023, Volume: 14

    Topics: Cross-Sectional Studies; Diabetes Mellitus, Type 2; Humans; Metformin; Prevalence; Primary Health Ca

2023
Vitamin B12 status and peripheral neuropathy in patients with type 2 diabetes mellitus.
    JPMA. The Journal of the Pakistan Medical Association, 2019, Volume: 69(Suppl 3), Issue:8

    Topics: Cross-Sectional Studies; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Female; Humans; Hypoglyce

2019
Discovering metformin-induced vitamin B12 deficiency in patients with type 2 diabetes in primary care.
    Journal of the American Association of Nurse Practitioners, 2019, Oct-20, Volume: 33, Issue:2

    Topics: Adolescent; Adult; Aged; Checklist; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents;

2019
Association between metformin dose and vitamin B12 deficiency in patients with type 2 diabetes.
    Medicine, 2019, Volume: 98, Issue:46

    Topics: Age Factors; Aged; Alcohol Drinking; Anemia; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Dos

2019
Relationship between metformin use and vitamin B
    Journal of diabetes investigation, 2020, Volume: 11, Issue:4

    Topics: Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Erythrocyte Indices; Female; Hemoglobins;

2020
Prevalence of Vitamin B12 Defi ciency and Clinical Neuropathy with Metformin Use in Type 2 Diabetes Mellitus Patients.
    The Journal of the Association of Physicians of India, 2020, Volume: 68, Issue:1

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Prevalence; Vitamin B 12; Vitamin

2020
Evaluation of Risk Factors of Peripheral Neuropathy in Type 2 Diabetes Mellitus Patients with Special Reference to Vitamin B12 Defi ciency.
    The Journal of the Association of Physicians of India, 2020, Volume: 68, Issue:1

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Peripheral Nervous System Disease

2020
Vitamin B12 Deficiency in Diabetic Patients on Metformin Therapy: A cross-sectional study from Oman.
    Sultan Qaboos University medical journal, 2020, Volume: 20, Issue:1

    Topics: Adult; Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents

2020
Vitamin B12 and Folate Concentrations in Recent-onset Type 2 Diabetes and the Effect of Metformin Treatment.
    The Journal of clinical endocrinology and metabolism, 2020, 06-01, Volume: 105, Issue:6

    Topics: Adolescent; Adult; Aged; Biomarkers; Blood Glucose; Cross-Sectional Studies; Diabetes Mellitus, Type

2020
Metformin Usage Index and assessment of vitamin B12 deficiency among metformin and non-metformin users with type 2 diabetes mellitus.
    Acta diabetologica, 2020, Volume: 57, Issue:9

    Topics: Adult; Case-Control Studies; Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Female; Hu

2020
The role of Helicobacter pylori in vitamin-B
    Helicobacter, 2020, Volume: 25, Issue:5

    Topics: Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Helicobacter Infections; Helicobac

2020
Long-term metformin treatment and risk of peripheral neuropathy in older Veterans.
    Diabetes research and clinical practice, 2020, Volume: 170

    Topics: Aged; Alcoholism; Body Mass Index; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Female; Humans;

2020
Oral manifestation of vitamin B12 associated with metformin and proton pump inhibitors: oral signs of drug related hypovitaminosis.
    Minerva dental and oral science, 2021, Volume: 70, Issue:2

    Topics: Humans; Metformin; Pharmaceutical Preparations; Proton Pump Inhibitors; Vitamin B 12; Vitamin B 12 D

2021
Vitamin B12 deficiency in patients with type 2 diabetes mellitus using metformin and the associated factors in Saudi Arabia.
    Saudi medical journal, 2021, Volume: 42, Issue:2

    Topics: Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male;

2021
[Oral diagnosis of vitamin B12 deficiency due to long-term metformin treatment: a case report].
    The Pan African medical journal, 2020, Volume: 37

    Topics: Aged; Anemia; Diabetes Mellitus; Diagnosis, Oral; Female; Glossitis; Humans; Hypoglycemic Agents; Me

2020
Profiling immuno-metabolic mediators of vitamin B12 deficiency among metformin-treated type 2 diabetic patients in Ghana.
    PloS one, 2021, Volume: 16, Issue:3

    Topics: Adult; Case-Control Studies; Diabetes Mellitus, Type 2; Female; Ghana; Humans; Male; Metformin; Midd

2021
[Vitamin B
    Semergen, 2018, Volume: 44, Issue:3

    Topics: Adult; Age Factors; Aged; Dementia; Female; Humans; Longitudinal Studies; Male; Mass Screening; Metf

2018
Metformin Use and Vitamin B12 Deficiency: Untangling the Association.
    The American journal of the medical sciences, 2017, Volume: 354, Issue:2

    Topics: Adolescent; Adult; Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypogly

2017
Long-term treatment with metformin in type 2 diabetes and methylmalonic acid: Post hoc analysis of a randomized controlled 4.3year trial.
    Journal of diabetes and its complications, 2018, Volume: 32, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Biomarkers; Diabetes Mellitus, Type 2; Female; Humans; Male; Metform

2018
Metformin and vitamin B12-What's missing from this picture?
    Journal of diabetes and its complications, 2018, Volume: 32, Issue:2

    Topics: Humans; Hypoglycemic Agents; Metformin; Vitamin B 12; Vitamin B 12 Deficiency

2018
[Vitamin B12 Deficiency in Type 2 Diabetes Mellitus].
    Acta medica portuguesa, 2017, Oct-31, Volume: 30, Issue:10

    Topics: Aged; Diabetes Complications; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male;

2017
Impact of type 2 Diabetes and Metformin use on Vitamin B12 Associated Biomarkers - an Observational Study.
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association, 2018, Volume: 126, Issue:6

    Topics: Aged; Biomarkers; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Male; Metformi

2018
[In process].
    Medizinische Monatsschrift fur Pharmazeuten, 2016, Volume: 39, Issue:8

    Topics: Diabetes Mellitus, Type 2; Humans; Intestinal Absorption; Metformin; Predictive Value of Tests; Risk

2016
The association of metformin use with vitamin B12 deficiency and peripheral neuropathy in Saudi individuals with type 2 diabetes mellitus.
    PloS one, 2018, Volume: 13, Issue:10

    Topics: Diabetes Mellitus, Type 2; Diet; Female; Humans; Hypoglycemic Agents; Male; Metformin; Middle Aged;

2018
Chronic diarrhea: an unusual clinical presentation of vitamin B
    Internal and emergency medicine, 2019, Volume: 14, Issue:3

    Topics: Diabetes Mellitus, Type 1; Diarrhea; Humans; Male; Metformin; Middle Aged; Vitamin B 12; Vitamin B 1

2019
Hyperglycemia and Metformin Use Are Associated With B Vitamin Deficiency and Cognitive Dysfunction in Older Adults.
    The Journal of clinical endocrinology and metabolism, 2019, 10-01, Volume: 104, Issue:10

    Topics: Aged; Aged, 80 and over; Cognitive Dysfunction; Cohort Studies; Female; Folic Acid; Geriatric Assess

2019
Manifestation of beefy red tongue in a woman on metformin.
    Chinese medical journal, 2013, Volume: 126, Issue:8

    Topics: Female; Humans; Hypoglycemic Agents; Metformin; Middle Aged; Vitamin B 12 Deficiency

2013
Increased risk of cognitive impairment in patients with diabetes is associated with metformin.
    Diabetes care, 2013, Volume: 36, Issue:10

    Topics: Aged; Aged, 80 and over; Calcium; Cognition Disorders; Diabetes Mellitus; Female; Humans; Logistic M

2013
Relationship between metformin use, vitamin B12 deficiency, hyperhomocysteinemia and vascular complications in patients with type 2 diabetes.
    Endocrine journal, 2013, Volume: 60, Issue:12

    Topics: Aged; Coronary Disease; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Diabetic Retinopathy; Diet

2013
Vitamin B12 deficiency and the lack of its consequences in type 2 diabetes patients using metformin.
    The Netherlands journal of medicine, 2013, Volume: 71, Issue:7

    Topics: Aged; Anemia; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Erythrocyte Indices; Female; Hemog

2013
Metformin causing vitamin B12 deficiency: a guilty verdict without sufficient evidence.
    Diabetes care, 2014, Volume: 37, Issue:2

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Nutrition Surveys; Vitamin B 12 D

2014
Long term use of metformin leading to vitamin B 12 deficiency.
    Diabetes research and clinical practice, 2014, Volume: 104, Issue:3

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Defici

2014
Prevalence of vitamin B12 deficiency in patients of type 2 diabetes mellitus on metformin: a case control study from Pakistan.
    The Pan African medical journal, 2013, Volume: 16

    Topics: Adult; Aged; Case-Control Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; M

2013
Influence of duration and dose of metformin on cobalamin deficiency in type 2 diabetes patients using metformin.
    Acta diabetologica, 2015, Volume: 52, Issue:1

    Topics: Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Dose-Response Relationship, Drug; Female;

2015
[Vitamin B12 deficiency associated with high doses od metformin in older people diabetic].
    Nutricion hospitalaria, 2014, Jun-01, Volume: 29, Issue:6

    Topics: Aged; Aged, 80 and over; Case-Control Studies; Diabetes Complications; Diabetes Mellitus; Female; Hu

2014
Associations between medication use and homocysteine levels in an older population, and potential mediation by vitamin B12 and folate: data from the B-PROOF Study.
    Drugs & aging, 2014, Volume: 31, Issue:8

    Topics: Aged; Diuretics; Female; Folic Acid; Health Services for the Aged; Homocysteine; Humans; Male; Metfo

2014
A woman with macrocytic anaemia and confusion.
    BMJ (Clinical research ed.), 2014, Jul-08, Volume: 349

    Topics: Aged, 80 and over; Anemia, Macrocytic; Confusion; Diagnosis, Differential; Female; Humans; Hypoglyce

2014
Association of vitamin B12 deficiency and metformin use in patients with type 2 diabetes.
    Journal of Korean medical science, 2014, Volume: 29, Issue:7

    Topics: Aged; Area Under Curve; Diabetes Mellitus, Type 2; Female; Folic Acid; Humans; Hypoglycemic Agents;

2014
BNF recommends hydroxocobalamin rather than cyanocobalamin for vitamin B12 deficiency.
    BMJ (Clinical research ed.), 2014, Sep-03, Volume: 349

    Topics: Anemia, Macrocytic; Confusion; Female; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficien

2014
Author's reply to Charkin.
    BMJ (Clinical research ed.), 2014, Sep-03, Volume: 349

    Topics: Anemia, Macrocytic; Confusion; Female; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficien

2014
Vitamin B12 deficiency is associated with adverse lipid profile in Europeans and Indians with type 2 diabetes.
    Cardiovascular diabetology, 2014, Sep-26, Volume: 13

    Topics: Adult; Aged; Aged, 80 and over; Asian People; Diabetes Mellitus, Type 2; Europe; Female; Humans; Hyp

2014
Higher prevalence of metformin-induced vitamin B12 deficiency in sulfonylurea combination compared with insulin combination in patients with type 2 diabetes: a cross-sectional study.
    PloS one, 2014, Volume: 9, Issue:10

    Topics: Adult; Aged; Diabetes Mellitus, Type 2; Drug Combinations; Female; Folic Acid; Humans; Insulin; Male

2014
Cobalamin status and its relation with depression, cognition and neuropathy in patients with type 2 diabetes mellitus using metformin.
    Acta diabetologica, 2015, Volume: 52, Issue:2

    Topics: Adult; Aged; Cognition; Depressive Disorder; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Femal

2015
A safe and effective drug?
    The New Zealand medical journal, 2014, Oct-17, Volume: 127, Issue:1404

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; New Zealand; Product Surveillance

2014
The prevalence of low vitamin B12 status in people with type 2 diabetes receiving metformin therapy in New Zealand--a clinical audit.
    The New Zealand medical journal, 2014, Oct-17, Volume: 127, Issue:1404

    Topics: Age Factors; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents

2014
Metformin plus proton pump inhibitors therapy: the cobalamin deficiency challenge.
    European review for medical and pharmacological sciences, 2015, Volume: 19, Issue:13

    Topics: Aged; Drug Therapy, Combination; Humans; Hypoglycemic Agents; Injections, Intramuscular; Male; Metfo

2015
Diabetes: Metformin linked to vitamin B12 deficiency.
    Nature reviews. Endocrinology, 2016, Volume: 12, Issue:6

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficiency

2016
The importance of ruling out risk factors for vitamin B12 deficiency induced by metformin in older patients
    Nutricion hospitalaria, 2016, 02-16, Volume: 33, Issue:1

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12; Vitamin B 12 Defici

2016
Multivitamin Use and Serum Vitamin B12 Concentrations in Older-Adult Metformin Users in REGARDS, 2003-2007.
    PloS one, 2016, Volume: 11, Issue:8

    Topics: Adult; Aged; Case-Control Studies; Diabetes Mellitus, Type 2; Dietary Supplements; Female; Humans; H

2016
Vitamin B12 deficiency is associated with cardiovascular autonomic neuropathy in patients with type 2 diabetes.
    Journal of diabetes and its complications, 2017, Volume: 31, Issue:1

    Topics: Antihypertensive Agents; Autonomic Nervous System Diseases; Cardiovascular Diseases; Cohort Studies;

2017
Vitamin B12 deficiency in metformin-treated type-2 diabetes patients, prevalence and association with peripheral neuropathy.
    BMC pharmacology & toxicology, 2016, 10-07, Volume: 17, Issue:1

    Topics: Aged; Black People; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic

2016
Use of Metformin for Cardiometabolic Risks in Psychiatric Practice: Need-to-Know Safety Issues.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:11

    Topics: Acidosis, Lactic; Antipsychotic Agents; Cohort Studies; Diabetes Mellitus, Type 2; Gastrointestinal

2016
Long-term Metformin Therapy and Monitoring for Vitamin B12 Deficiency Among Older Veterans.
    Journal of the American Geriatrics Society, 2017, Volume: 65, Issue:5

    Topics: Diabetes Mellitus, Type 2; Female; Hospitals, Veterans; Humans; Hypoglycemic Agents; Male; Metformin

2017
Metformin, B12 and homocysteine levels: the plausible cause or effect?
    Journal of the Formosan Medical Association = Taiwan yi zhi, 2008, Volume: 107, Issue:6

    Topics: Homocysteine; Humans; Hyperhomocysteinemia; Metformin; Venous Thrombosis; Vitamin B 12; Vitamin B 12

2008
[Vitamin B12 deficiency in patients treated with metformin: an approach to adopt].
    Atencion primaria, 2010, Volume: 42, Issue:3

    Topics: Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficiency

2010
[Vitamin B12 deficiency secondary to metformin therapy].
    Medicina clinica, 2010, Jul-17, Volume: 135, Issue:6

    Topics: Aged; Anemia; Diabetes Mellitus, Type 2; Drug Synergism; Female; Folic Acid; Humans; Hyperhomocystei

2010
[Metformin and vitamin B12 deficiency].
    Medicina clinica, 2010, Jul-17, Volume: 135, Issue:6

    Topics: Aged; Anemia; Female; Folic Acid; Humans; Hyperhomocysteinemia; Hypoglycemic Agents; Intestinal Abso

2010
Metformin, B(12), and enhanced breast cancer response to chemotherapy.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010, Jan-10, Volume: 28, Issue:2

    Topics: Antineoplastic Combined Chemotherapy Protocols; Breast Neoplasms; Diabetes Mellitus; Female; Humans;

2010
[An approach to adopt in patients with metformin-associated vitamin B12 deficiency].
    Atencion primaria, 2010, Volume: 42, Issue:4

    Topics: Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficiency

2010
Metformin-induced vitamin B12 deficiency presenting as a peripheral neuropathy.
    Southern medical journal, 2010, Volume: 103, Issue:3

    Topics: Aged; Humans; Hypoglycemic Agents; Male; Metformin; Peripheral Nervous System Diseases; Vitamin B 12

2010
Association between vitamin B12 levels and mortality in hospitalized older adults.
    Journal of the American Geriatrics Society, 2010, Volume: 58, Issue:3

    Topics: Aged; Aged, 80 and over; Cross-Sectional Studies; Drug-Related Side Effects and Adverse Reactions; F

2010
Reduced serum vitamin B-12 in patients taking metformin.
    BMJ (Clinical research ed.), 2010, May-20, Volume: 340

    Topics: Diabetes Mellitus, Type 2; Dietary Supplements; Humans; Hypoglycemic Agents; Metformin; Risk Factors

2010
Diabetes drug interferes with vitamin B12.
    Harvard heart letter : from Harvard Medical School, 2010, Volume: 20, Issue:9

    Topics: Diabetes Mellitus, Type 2; Folic Acid; Health Knowledge, Attitudes, Practice; Humans; Hypoglycemic A

2010
Clinical pearls in general internal medicine.
    Mayo Clinic proceedings, 2011, Volume: 86, Issue:1

    Topics: Abdominal Pain; Adrenergic alpha-1 Receptor Antagonists; Adult; Aged; Androgen Antagonists; Anti-Inf

2011
[Mini-review BMJ "rational testing" Praxis 2011;100(2):99-103].
    Praxis, 2011, Feb-16, Volume: 100, Issue:4

    Topics: Adolescent; Adult; Age Factors; Aged; Child; Diet, Vegetarian; Fatigue; Female; Humans; Hypoglycemic

2011
More adverse neurological consequences of metformin-induced vitamin B12 deficiency.
    Southern medical journal, 2011, Volume: 104, Issue:7

    Topics: Humans; Hypoglycemic Agents; Male; Metformin; Peripheral Nervous System Diseases; Vitamin B 12 Defic

2011
[Vitamin B12 deficiency in diabetic patients taking metformin].
    Medicina clinica, 2012, Apr-28, Volume: 138, Issue:11

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male; Metformin; Middle Aged;

2012
Association of biochemical B₁₂ deficiency with metformin therapy and vitamin B₁₂ supplements: the National Health and Nutrition Examination Survey, 1999-2006.
    Diabetes care, 2012, Volume: 35, Issue:2

    Topics: Aged; Dietary Supplements; Female; Humans; Male; Metformin; Middle Aged; Vitamin B 12; Vitamin B 12

2012
Metformin associated B12 deficiency.
    The Journal of the Association of Physicians of India, 2012, Volume: 60

    Topics: Diabetes Mellitus, Type 2; Humans; Hydroxocobalamin; Hypoglycemic Agents; Malabsorption Syndromes; M

2012
Evaluation of vitamin B12 monitoring in a veteran population on long-term, high-dose metformin therapy.
    The Annals of pharmacotherapy, 2012, Volume: 46, Issue:11

    Topics: Anemia; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Drug Monitoring; Humans; Hypoglycemic Agen

2012
Vitamin B(12) deficiency associated with concomitant metformin and proton pump inhibitor use.
    Diabetes care, 2012, Volume: 35, Issue:12

    Topics: Aged; Female; Humans; Male; Metformin; Middle Aged; Proton Pump Inhibitors; Retrospective Studies; V

2012
[Vitamin B(12) deficiency in type 2 diabetics treated with metformin].
    Atencion primaria, 2013, Volume: 45, Issue:2

    Topics: Aged; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male;

2013
Metformin-associated vitamin B12 deficiency.
    Archives of internal medicine, 2002, Oct-28, Volume: 162, Issue:19

    Topics: Aged; Aged, 80 and over; Female; Homocysteine; Humans; Hypoglycemic Agents; Male; Metformin; Middle

2002
[Does the vitamin B12 deficiency caused by metformin disappear again after stopping this drug?].
    Nederlands tijdschrift voor geneeskunde, 2002, Nov-16, Volume: 146, Issue:46

    Topics: Calcium, Dietary; Diabetes Mellitus, Type 2; Dietary Supplements; Humans; Hypoglycemic Agents; Male;

2002
Does metformin interfere with thiamine?
    Archives of internal medicine, 2003, Apr-28, Volume: 163, Issue:8

    Topics: Drug Interactions; Humans; Hypoglycemic Agents; Metformin; Thiamine; Thiamine Deficiency; Vitamin B

2003
A case of megaloblastic anemia due to vitamin B12 deficiency precipitated in a totally gastrectomized type II diabetic patient following the introduction of metformin therapy.
    Endocrine journal, 2003, Volume: 50, Issue:4

    Topics: Aged; Anemia, Megaloblastic; Diabetes Mellitus, Type 2; Female; Gastrectomy; Humans; Hypoglycemic Ag

2003
Mild cobalamin deficiency associated with long-term metformin intake--reply.
    Journal of internal medicine, 2004, Volume: 255, Issue:2

    Topics: Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Male; Metfo

2004
Use of metformin is a cause of vitamin B12 deficiency.
    American family physician, 2004, Jan-15, Volume: 69, Issue:2

    Topics: Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficiency

2004
Case 25-2004: a woman with severe obesity, diabetes, and hypertension.
    The New England journal of medicine, 2004, Dec-23, Volume: 351, Issue:26

    Topics: Diabetes Mellitus, Type 1; Female; Gastric Bypass; Humans; Hypoglycemic Agents; Metformin; Obesity,

2004
Metformin-related vitamin B12 deficiency.
    Age and ageing, 2006, Volume: 35, Issue:2

    Topics: Aged, 80 and over; Diabetes Mellitus, Type 2; Diarrhea; Female; Humans; Hypoglycemic Agents; Metform

2006
[Diagnosis of vitamin B12 deficiency revised].
    Nederlands tijdschrift voor geneeskunde, 2006, Feb-25, Volume: 150, Issue:8

    Topics: Humans; Hypoglycemic Agents; Metformin; Vitamin B 12; Vitamin B 12 Deficiency

2006
[Factors influencing homocysteineamia in type 2 diabetic patients].
    La Tunisie medicale, 2006, Volume: 84, Issue:5

    Topics: Diabetes Mellitus, Type 2; Female; Folic Acid; Glycated Hemoglobin; Homocysteine; Humans; Hyperhomoc

2006
Risk factors of vitamin B(12) deficiency in patients receiving metformin.
    Archives of internal medicine, 2006, Oct-09, Volume: 166, Issue:18

    Topics: Age Factors; Aged; Case-Control Studies; Databases as Topic; Diabetes Mellitus; Dose-Response Relati

2006
[Metformin can cause vitamin B 12 deficiency in diabetes].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 2007, Jan-04, Volume: 127, Issue:1

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Risk Factors; Vitamin B 12 Defici

2007
Metformin and vitamin B12 deficiency: the role of H2 receptor antagonists and proton pump inhibitors.
    Age and ageing, 2007, Volume: 36, Issue:1

    Topics: Aged; Aged, 80 and over; Diabetes Mellitus; Famotidine; Gastritis; Histamine H2 Antagonists; Humans;

2007
[Metformin and vitamin B 12 deficiency].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 2007, Mar-15, Volume: 127, Issue:6

    Topics: Humans; Hypoglycemic Agents; Intestinal Absorption; Metformin; Vitamin B 12; Vitamin B 12 Deficiency

2007
The long and short of metformin-related vitamin B12 deficiency.
    Archives of internal medicine, 2007, Apr-09, Volume: 167, Issue:7

    Topics: Humans; Hypoglycemic Agents; Metformin; Time Factors; Vitamin B 12 Deficiency

2007
Vitamin B12 deficiency in patients receiving metformin: clinical data.
    Archives of internal medicine, 2007, Apr-09, Volume: 167, Issue:7

    Topics: Aged; Humans; Hypoglycemic Agents; Metformin; Time Factors; Vitamin B 12 Deficiency

2007
Metformin and vitamin B12 deficiency: association and not causation may play a major role in cohort studies.
    Archives of internal medicine, 2007, Apr-09, Volume: 167, Issue:7

    Topics: Cohort Studies; Humans; Hypoglycemic Agents; Metformin; Time Factors; Vitamin B 12 Deficiency

2007
Drug-induced vitamin B12 deficiency.
    The Nurse practitioner, 2007, Volume: 32, Issue:9

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12; Vitam

2007
Hyperhomocysteinemia, deep vein thrombosis and vitamin B12 deficiency in a metformin-treated diabetic patient.
    Journal of the Formosan Medical Association = Taiwan yi zhi, 2007, Volume: 106, Issue:9

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Humans; Hyperhomocysteinemia; Hypoglycemic Agents; Metformi

2007
[Megaloblastic anemia caused by malabsorption of vitamin B12 during long-term metformin therapy].
    Ugeskrift for laeger, 1983, Jan-03, Volume: 145, Issue:1

    Topics: Aged; Anemia, Macrocytic; Anemia, Megaloblastic; Diabetes Mellitus; Female; Humans; Malabsorption Sy

1983
Megaloblastic anaemia due to vitamin B12 malabsorption associated with long-term metformin treatment.
    British medical journal, 1980, May-17, Volume: 280, Issue:6225

    Topics: Anemia, Macrocytic; Anemia, Megaloblastic; Diabetes Mellitus; Female; Humans; Intestinal Absorption;

1980
Efficacy of metformin in non-insulin-dependent diabetes mellitus.
    The New England journal of medicine, 1996, Jan-25, Volume: 334, Issue:4

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Vitamin B 12 Deficiency

1996
Metformin and vitamin B12 deficiency.
    Archives of internal medicine, 2002, Feb-25, Volume: 162, Issue:4

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Male; Metformin; Middle Aged; Vitamin B 12 D

2002
Metformin and B 12 malabsorption.
    Annals of internal medicine, 1972, Volume: 76, Issue:4

    Topics: Humans; Intestinal Absorption; Metformin; Vitamin B 12 Deficiency

1972
Metformin and B-12 malabsorption.
    Annals of internal medicine, 1972, Volume: 76, Issue:1

    Topics: Biguanides; Intestinal Absorption; Metformin; Vitamin B 12 Deficiency

1972
Vitamin B 12 and metformin.
    British medical journal, 1971, Jul-24, Volume: 3, Issue:5768

    Topics: Acidosis; Diabetes Mellitus; Folic Acid; Humans; Intestinal Absorption; Lactates; Metformin; Phenfor

1971