Recommend Oral or Sublingual B12 For Deficiency in Metformin Users

May 2016

You'll get questions about metformin and vitamin B12 deficiency.

Up to 1 in 14 patients taking metformin for about 4 years develop B12 deficiency. It's probably even more common with longer use.

B12 deficiency can lead to anemia, neuropathy, and other problems.

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Table of Contents

Opioids more emphasis on providing naloxone to those at risk for an opioid overdose
Metformin Recommend Oral or Sublingual B12 For Deficiency in Metformin Users
Cardiology Feel Comfortable Suggesting Statins for More Patients WithOUT CV Disease
Diabetes Suggest Holding Sulfonylureas During Fasting
Anticoagulants Watch for Direct Oral Anticoagulant (Pradaxa, etc) Drug Interactions
Dermatology Choose a Topical Corticosteroid Dosage Form a Patient Will Adhere To
Natural Health Products Watch for Some Risky Drug-Supplement Combinations
Infections Tell Patients to Check Their Feet Daily to Prevent Diabetic Foot Infections
Depression Explain Why Some Seniors Will Get a Stimulant Along with Their Antidepressant
Med Administration Dispel Rumors Doxycycline Can't Be Taken With Milk
HIV & AIDS Stress Adherence in Patients Taking Truvada for Pre-Exposure Prophylaxis (PrEP)
Opioids Help Patients Taper Off Opioids When Risks Exceed Benefits