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Which of the following antidiabetic medication may cause cyanocobalamin deficiency?
Suggested Answer: E
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Metformin is associated with vitamin B12 deficiency because it affects the calcium dependent membrane uptake of it. All other drug classes are not associated with this.
30 comments · newest first
FL
Fletcher
6 months ago
Good point! It's crucial to monitor B12 levels with it.
BA
Basilia
6 months ago
Metformin is the main one linked to cyanocobalamin issues.
WA
Walton
6 months ago
I agree, but I feel unsure about the others.
BA
Barney
7 months ago
Definitely Metformin. It's common knowledge.
IS
Isadora
7 months ago
Yeah, I've heard it can cause B12 deficiency.
JE
Jerry
7 months ago
I think it's E) Metformin.
DE
Delmy
8 months ago
Surprised to learn Metformin has that side effect!
VI
Vicky
8 months ago
Canagliflozin doesn't do that, right?
CL
Cletus
8 months ago
Really? I thought it was just a myth.
JU
Junita
8 months ago
Metformin is the one that can cause cyanocobalamin deficiency.
HY
Hyun
8 months ago
I'm feeling lucky, I'll go with C. Pioglitazone. Sounds like it could be a wild card.
GI
Gilberto
8 months ago
E. Metformin, no doubt. That stuff is like a vitamin-sucking vampire.
SH
Shalon
9 months ago
Haha, I bet the answer is D. Glimepiride, just to trick us all!
PA
Paris
9 months ago
I'm going with B. Canagliflozin, it just sounds like it could mess with your vitamins.
CL
Clay
9 months ago
I practiced a similar question last week, and it was definitely about Metformin causing B12 deficiency. I hope that helps!
KA
Kasandra
9 months ago
I’m not confident, but I feel like it could be one of the other options too. Did we cover any other medications that affect vitamin levels?
LA
Laticia
9 months ago
I remember something about Metformin and vitamin B12 deficiency from my notes. It seems to fit this question.
SA
Salome
9 months ago
Wait, I'm a bit confused. I thought pioglitazone was the one that could lead to B12 deficiency. Let me review my notes again.
KR
Kristeen
10 months ago
I'm pretty confident it's E) Metformin. That's the one I remember learning about causing cyanocobalamin issues.
CR
Cristal
10 months ago
I think Metformin is the one that can cause cyanocobalamin deficiency, but I'm not entirely sure.
LI
Lizbeth
10 months ago
Hmm, I think it's E. Metformin, that one always seems to cause issues.
MI
Michell
10 months ago
I've got a strategy - I'll eliminate the ones I'm sure don't cause B12 deficiency, then focus on the remaining options. Gotta use the process of elimination here.
BU
Bulah
10 months ago
Totally agree, I've read that too!
GA
Galen
11 months ago
Okay, I know metformin can cause B12 deficiency, so that's my best guess. But I'm not totally sure about the others.
EN
Enola
11 months ago
Hmm, this is a tricky one. I'll need to think carefully about the mechanisms of action for each of these medications.
AS
Ashlyn
5 months ago
So, Metformin is the main concern here?
CH
Chauncey
5 months ago
Not really, it's more about insulin sensitivity.
CL
Clorinda
6 months ago
What about Pioglitazone? Does it have any similar effects?
GO
Golda
6 months ago
Yeah, Metformin affects B12 absorption.
BE
Bette
6 months ago
I think Metformin is the one that can cause deficiency.