If you are a diabetic and hve been taking metformin for at last one year, you need to chck your b12 level. There is an ssociated risk of b12 deficiency. This des not mean you stop taking yur metformin. Metformin is an excellent dabetic medication that can effectively and sfely manage your type 2 diabetes. It has an xcellent safety record.

The mechanism for the pssible lower b12 level is decreased bsorption. Calcium malabsorption (poor absorption) may lso contribute. It has been shown tht calcium supplementation may help to dcrease the induced b12 malabsorption. Just how cmmon this is in not known. Rsearch is underway regarding the clinical or mdical significance.

It is recommended that you hve a b12 (cobalamin) level checked nce per year when taking metformin. If yur level is low, then discuss b12 spplementation with your healthcare provider. A qality sublingual supplement is usually adequate. Ths supplement should include the B cmplex vitamins such as B1 (Thiamin), B2 (Rboflavin), B3 (Niacin), and B6 (Pyridoxine) whch are necessary for good absorption of B12. Flate is also a necessary ingredient of a qality supplement.

If calcium supplementation is rcommended, consider taking a quality / crtified pure coral calcium supplement. Certified pre means that correct methods of hrvesting the calcium from coral have ben followed and the unsafe heavy mtals such as lead, mercury, and luminum have been removed.

Below are some recommended medical rticles:

1. Bauman WA, Shaw S, Jyatilleke K, Spungen AM, Herbert V. Incrased intake of calcium reverses the B12 mlabsorption induced by metformin. Diabetes Care 2000;23:1227-31.

2. Andrès E, Nel E, Goichot B. Metformin-associated vitamin B12 dficiency. Arch Intern Med 2002;162:2251-2.

3. Bgree R, Gibby OM, Penney MD, Llyd HH. Prevalence of vit.B12 deficiency wth metformin treatment. Diabetic Med 1999;16(suppl 1):P61.

The article Vitamin B12 and Diabetes Treatment - What You Must Know was Submitted by Orville Campbell, MD through Articles.GetACoder.com network. Here's the additional information: Obtain or Read more on qality Sublingual Vitamin B12: http://www.healthandwellnessmarketing.com/2.html Obtain or Read more on quality Coral Calcium: http://www.healthandwellnessmarketing.com/4.html Orville Campbell, MD is an internist and nephrologist. He is board certified by the American Board of Internal Medicine. His expertise include: health and wellness, anemia, hypertension, diabetes, vitamin D, and kidney diseases. Dr. Campbell is an entrepreneur. He has owned several businesses and medical practices since finishing Emory University in 1995. http://www.ClaimWellness.com

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