Manik Madaan MD
Region: US
Tuesday 02 June 2026 22:26:04 GMT
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mac_0xy :
So should we supplement vitamin B12 or Calcium? to the patients of long term use of Metformin
2026-07-13 16:28:32
0
♡ :
Hurry up bro, i have more videos to watch
2026-06-03 07:20:58
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quavooo :
so if it's not reversible with b12 supplementation, what do U do Doc
2026-06-03 04:18:21
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The minimalist. :
Or is it that : due to low sugar the normal flora of gut is reduced and vitamin b production drops?
2026-06-22 02:32:52
2
crescendo decrescendo :
so in this case we should give v b12 or calcium supplements ?
2026-06-03 17:19:29
2
SBKibirango :
you are the best
2026-06-24 21:53:44
1
Vikthor :
Why didn’t you come on my fyp before my pharmco?!😭
2026-06-23 02:13:38
0
philan021 :
what about the lactic acidosis
2026-06-09 11:19:55
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Progressive Pain Management :
can sublingual vitamin b12 be used to avoid this?
2026-06-17 21:25:23
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Trudge :
Cool
2026-06-21 12:53:20
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jimmy :
thanks doctor
2026-06-22 16:27:10
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aander93 :
Thanks for sharing
2026-06-02 22:58:16
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Dr..Mawuli.cristiano :
Thanks
2026-06-02 22:51:42
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Mustafa Afghan :
Vitamin B12 binds to intrinsic factor in the stomach to be absorbed in the terminal ileum (part of the small intestine). This absorption step is calcium-dependent. Metformin disrupts this calcium-dependent mechanism, preventing the B12-intrinsic factor complex from attaching to the cell receptors (cubilin receptors) and entering your bloodstream.
2026-06-03 19:15:43
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Dr. Suman Wajid :
then why does taking 500mcg of methycobal daily, make that metformin-person dizzy lethargic lack of interest & extremely tired? and stopping methycobal after a month makes that same person normal.
2026-06-27 21:06:47
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user4274476215170 :
metformin is dangerous diabetic patients 😭
2026-06-20 17:53:57
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jem :
💯💯💯
2026-06-22 14:37:22
0
Abdurafi Qaderi :
❤️❤️❤️
2026-06-03 10:09:26
0
Dr Abbas Khattak :
👍
2026-06-06 20:42:35
0
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