Even if you have yours tested, the levels considered "normal" in the U. You can find my recommended diet and exercise changes to prevent or treat type 2 diabetes here.
Perhaps a more practical and cost-effective approach would be to give every patient on metformin an annual microgram injection of vitamin B12 which is sufficient to cover vitamin B12 needs for at least a year. Association of vitamin B12 deficiency and metformin use in patients with type 2 diabetes. One mg tablet in the morning, mg tablets in the evening. However, I feel pretty well now. I have been on Metformin for a couple of years.
I have been taking Metformin for 15 yrs.
References Aroda VR, et al.
This is why vitamin B12 is often given via injection, especially for people with absorption issues. In support of this hypothesis is evidence that dietary calcium supplementation reverses metformin-induced vitamin B12 malabsorption.
Pamela August 12, at 8: For that absorption issue, mythl IS a way better choice like you stated but for others, oral supplementation without needles is a better choice. I have bowel leakage sometimes at night but not all the time.
Be sure to ask for a B12 test. This is unfortunate since a correctable cause of irreversible damage to the central and peripheral nervous system may be overlooked.
Such actions are at the sole discretion of DiabetesSelfManagement. So the Metformin mg,half tablet in am and half in pm. Achlorhydria Achlorhydria is basically a lack of gastric acid in the stomach.
I however can take Strontium, and do. As well, sometimes I go three days without sleep, have gained weight and feel a bit depressed. Amy July 23, at 8: