Should I take B12 while on metformin?

Should you take a supplement? Messer says taking a supplement can treat the deficiency and prevent further nerve damage while still taking metformin as prescribed. A normal B12 level is considered anywhere between 190 and 900 nanograms per milliliter (ng/mL), but Messer suggests treating any level below 300 ng/mL.
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How much B12 should a diabetic take with metformin?

All individuals age 14 or higher need 2.4 mcg B12 daily. Women who are pregnant or nursing will need slightly more. Mandatory supplementation with B12 has now been proposed for those taking metformin. Taking a daily multivitamin containing 100% of the daily value (DV) for vitamin B12 will do the trick.
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Should you take vitamin B12 with metformin?

Low levels of vitamin B12 can cause serious and sometimes permanent neurological damage, as well as bone marrow production issues with subsequent anemia. This is why levels of this nutrient must be monitored in anyone taking metformin.
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What vitamins should not be taken with metformin?

Interactions between your drugs

No interactions were found between metformin and Vitamins. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
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Does metformin cause vitamin B12 deficiency?

Metformin can cause serum vitamin B12 deficiency, but studies on the influence of its duration and dose are lacking. We investigated vitamin B12 deficiency in patients with type 2 diabetes using metformin, in conjunction with other related factors.
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Metformin and Vitamin B12 Deficiency



Is vitamin B12 good for diabetics?

A B12 supplement can be helpful if you have type 2 diabetes and are deficient in the vitamin. People who take metformin for type 2 diabetes have lower levels of vitamin B12.
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What are the symptoms of B12 deficiency?

Vitamin B12 or folate deficiency anaemia can cause a wide range of symptoms. These usually develop gradually, but can worsen if the condition goes untreated.
  • extreme tiredness (fatigue)
  • lack of energy (lethargy)
  • breathlessness.
  • feeling faint.
  • headaches.
  • pale skin.
  • noticeable heartbeats (palpitations)
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What vitamin should I take if I on metformin?

Replenish Depleted Nutrients

People taking metformin should supplement vitamin B12 and folic acid or ask their doctor to monitor folic acid and vitamin B12 levels. Metformin therapy has been shown to deplete vitamin B12, and sometimes, but not always, folic acid as well.
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How much vitamin B12 should a diabetic take?

In the US, it is currently believed that adults with type 2 diabetes that are over 50 should take 2.4 µg of synthetic vitamin B12 daily either in supplement form or in fortified food.
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Can B12 cause high blood sugar?

Cross-sectional analyses showed a positive association between baseline vitamin B12 levels and FBG levels (β=0.18, 95% CI 0.15 to 0.21) and diabetes (OR=1.16, 95% CI 1.10 to 1.21). However, longitudinal analyses showed no association between baseline vitamin B12 and new-onset diabetes or changes in FBG levels.
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Is it best to take metformin before or after a meal?

You should always take metformin after finishing your meal. Extended-release metformin can also help to reduce an upset stomach. If the symptoms do not disappear after a few weeks, ask your doctor before stopping metformin.
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When should B12 be taken?

“Take water-soluble vitamins on an empty stomach with a glass of water,” recommends Dr. Perez-Gallardo. And since it can be energizing, Dr. Perez-Gallardo says that the best time to take vitamin B12 is in the morning, so it won't affect your sleep.
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Which vitamin is best for diabetes?

What are the best vitamins for people with diabetes?
  • Thiamin (b1) Those with type 1 or type 2 diabetes are more likely to have lower blood levels of thiamin and usually suffer a higher risk of thiamin deficiency than people who don't have diabetes. ...
  • Vitamin B12. ...
  • Vitamin D. ...
  • Magnesium. ...
  • Vitamin E. ...
  • Vitamin C.
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Can you have too much B12?

Since B12 is a water-soluble vitamin, it's generally considered safe, even at high doses. No Tolerable Upper Intake Level (UL) has been established for B12, due to its low level of toxicity. UL refers to the maximum daily dose of a vitamin unlikely to cause adverse side effects in the general population.
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Can I take daily vitamins with metformin?

No interactions were found between Daily Multi-Vitamins with Minerals and metformin.
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How much B12 does a woman need?

Who needs more B12? Most women get the recommended daily amount — 2.4 micrograms (mcg) for most adults, 2.6 mcg for pregnant women, and 2.8 mcg for women who are breastfeeding — in their diets.
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How long does it take to get your B12 levels up?

Once you begin treating your vitamin B12 deficiency, it can take up to six to 12 months to fully recover. It is also common to not experience any improvement during the first few months of treatment. If you can, it's a good idea to address what's causing the deficiency.
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Can I take vitamin D with metformin?

No interactions were found between metformin and Vitamin D3.
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What is the miracle fruit that cures diabetes?

Jamun is a tried and tested fruit for people with type-2 diabetes. According to a study published in the Journal of Food Science and Technology, jamun has antidiabetic and antioxidant functionality.
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What vitamin helps lower blood sugar?

Many supplements — including cinnamon, ginseng, other herbs, vitamin D, magnesium, probiotics and plant compounds like berberine — may help lower blood sugar.
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How do I get my A1C down fast?

Here are nine ways to lower your A1C:
  1. Make a food plan. Eating the right foods is essential to lowering your A1C, so you want to make a plan and stick to it. ...
  2. Measure portion sizes. ...
  3. Track carbs. ...
  4. Plate method. ...
  5. Have a realistic weight loss goal. ...
  6. Exercise plan. ...
  7. Take medications. ...
  8. Supplements and vitamins.
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Can Apple cider vinegar lower A1C?

The review reports that apple cider vinegar caused a small, significant reduction in HbA1c results after 8–12 weeks. HbA1c levels reflect a person's blood glucose levels over many weeks or months.
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Can vitamin D reverse diabetes?

Regular doses of vitamin D early in life have been shown to reduce the risk of developing type 1 diabetes. Vitamin D treatment has also been shown to improve glycemic control and insulin sensitivity in people with type 1 and type 2 diabetes and in normal individuals.
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Should you take B12 everyday?

Safety and side effects. When taken at appropriate doses, vitamin B-12 supplements are generally considered safe. While the recommended daily amount of vitamin B-12 for adults is 2.4 micrograms, higher doses have been found to be safe. Your body absorbs only as much as it needs, and any excess passes through your urine ...
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