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Z Gesamte Inn Med. 1981 Mar 15;36(6):226-8.

[Vitamin B12-level in serum of diabetics receiving long-term buformin therapy].

[Article in German]

Abstract

Disturbances of the vitamin B12 resorption by the therapy with biguanides above all metformin are known from literature. In 59 patients with Buformin retard-monotherapy we determined in 18.7% slight reductions of the vitamin B12 level in the serum, in one patient the serum concentration was lower than 50 pg/ml. That means that also under therapy with Buformin can be reckoned with easy disturbances of resorption for vitamin B12. Occasional controls of Hb and anamnestic establishment of neurological symptoms are to be recommended during a therapy with Buformin, in order not to overlook the clinical signs of a vitamin B12 hypovitaminosis.

PMID:
7257460
[Indexed for MEDLINE]

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