
New Metformin Warning: Mandatory Supplementation With Vitamin B12
The most common medication used in women with PCOS is the insulin-sensitizer metformin. Research is strongly showing that long-term use of metformin and at high doses (1.5mg or higher daily) can deplete levels of vitamin B12. A deficiency of vitamin B12 can cause permanent neurological and nerve damage as well as mood changes and decreased energy. Here’s what you need to know to avoid a vitamin B12 deficiency if you take metformin. About Metformin Metformin is a medication that became available in the U.S. in 1995 for the treatment of type 2 diabetes. Metformin is the most widely used medication used to lower insulin levels in those with polycystic ovary syndrome. Other names for metformin include glucophage, glucophage XR, glumetza, and fortamet. Metformin lowers blood glucose levels in three ways: It suppresses the liver’s production of glucose. It increases the sensitivity of your liver, muscle, fat, and cells to the insulin your body makes. It slows the absorption of carbohydrates you consume Metformin use may affect the absorption of vitamin B12 possibly through alterations in intestinal mobility, increased bacterial overgrowth, or alterations of the vitamin B12-intrinsic factor complex. Metformin can cause a malabsorption in B12 due to digestive changes, which leads to the binding of B12-intrinsic factor complex (intrinsic factor is needed to absorb B12 in the gut) and a reduction of B12 absorption. Vitamin B12 Deficiency in Metformin Users The largest study thus far to examine the link between metformin and vitamin B12 is the Diabetes Prevention Program Outcomes Study (DDPOS). This study looked at B12 levels of individuals with prediabetes who took 850 mg Metformin 2x/day and compared them to those taking a placebo. At 5 years, 4.3% of the metformin users had Continue reading >>

Does Metformin Cause Memory Loss?
In this article, our pharmacist discusses whether or not metformin causes memory loss and how to reverse the effects. Does metformin cause memory loss? I feel as though the longer I have been on the drug, I have gotten worse. Answer Current evidence suggests that metformin does in fact have a negative effect on memory, although more studies are needed. Interestingly, early studies indicated that metformin showed potential promise in treating and preventing certain neurological conditions such as Alzheimer's Disease and Parkinson's Disease. In Vitro studies (i.e. studies conducted in the lab in a non-biological context) showed that metformin could prevent the formation of amyloid beta peptides, one of the hallmarks of neurodegeneration in Parkinson's Disease. Furthermore, studies in mice have shown that metformin promoted neurogenesis (i.e. generation of new neurons) and enhanced memory in rodents, as well as a overall reduction in oxidative stress. Unfortunately, these past results don't seem to have transferred over to the human use of metformin. Many current studies now show that metformin is associated with cognitive decline. In fact, there have been studies that suggest a nearly two fold increase in the likelihood of mental impairment in those taking metformin versus those who are not. Worse yet, metformin has been linked to an increased risk of developing dementia and Parkinson's Disease. One study followed over 9,000 patients for up to 12 years and found that the risk Parkinson’s disease, as well as dementia, increased over 50 percent during that period in those who took metformin. They concluded that long term metformin exposure in patients with diabetes may lead to the development of neurodegenerative diseases. The problem with most of the studies linking metf Continue reading >>

Will You Have Short-term Memory Loss With Metformin - From Fda Reports - Ehealthme
A study for a 73 year old man who takes Tadalafil NOTE: The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk. You may report adverse side effects to the FDA at or 1-800-FDA-1088 (1-800-332-1088). If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Continue reading >>

Metformin And Memory Loss - Medhelp
Common Questions and Answers about Metformin and memory loss The cause of headaches, dizziness, vertigo and short term memory loss along with heart symptoms and missed periods in the absence of a brain pathology could be severe anemia. If your MRI is normal, anemia could be the most probable cause. Please consult a physician and get routine investigations done. Hope this helps you. Take care and regards! had similar situation as original poster........want to suggestanyone researching memory loss and other cognitive symptomsin the elderly may want to check out LEWY BODY DISEASE........ one family has documented their mother's decline andhas published an online journal....when Iread the excerpts, I could have written the comments myself....esp. about the "identical houses" and concern about "getting home"....(see journal entry #7. Dr Jekyll and Mrs. Hyde... Its been 5 years and I was younger so I dont have a great big memory prior to my sons birth. I am currently on 1000 Mg of Metformin and I am on my 2nd trial of Clomid. Last month I took OPK's and it determined that I was ovulating, when I took a blood test on the 21st day my OB/GYN said I did not ovulate :( I have a abnormal period, I bleed every month just not consective from one month to the next.. If he has liver disease (he's 84 and has never been a drinker really) what is the connection with the memory loss , is it reversable? And what is usually the prognosis in such cases (if indeed there is a connection here)?This discussion is related to prednisone may cause memory loss?. All I can say to that is if you are not IR or have type 2 diabetes you don't want to be on metformin . My husband is diabetic and needs it but why would you want to take it if you don't need it? Too much IR resistance information going arou Continue reading >>

5 Surprising Causes Of Memory Loss
You can't find your keys or you forget an appointment. For many people in middle age or older, simple acts of forgetfulness like these are scary because they raise the specter of Alzheimer's disease. But Alzheimer’s is not the only health issue that can lead to forgetfulness, which is often treatable if you know the cause, according to the National Institute on Aging. Memory loss can happen at any age and for a number of reasons. “Patients might experience memory loss and describe their symptoms similarly, but a doctor can tease apart what parts of the brain are affected,” says Seth Gale, MD, a neurologist at Brigham and Women’s Hospital in Boston. He points out things like polypharmacy (taking several medications), significant depression, and poor sleep that can lead to memory complaints. “When you drill down and find out what is actually happening with brain function, you can reassure someone. They have the capacity to learn and store information but because of their overloaded mental resources, they are having trouble,” says Dr. Gale. Talk with your doctor about concerns you may have about your memory, so the condition responsible for your symptoms can be addressed. Discussing your symptoms and taking various tests, possibly including an MRI, may help your doctor determine what is affecting your memory, Gale says. In some cases, one or more of the following issues could play a role. 1. Sleep Apnea This common but treatable sleep disorder causes breathing to stop briefly and frequently throughout the night. It is linked to memory loss and dementia, according to Constantine Lyketsos, MD, director of the Memory and Alzheimer's Treatment Center at Johns Hopkins Medicine and professor and chair of psychiatry at Johns Hopkins Bayview. You might have sleep apnea Continue reading >>

Metformin And Impaired Thinking
According to new research from Australia, the oral diabetes medicine metformin is linked to impaired brain function, but supplementation with vitamin B12 may reduce some of the cognitive effects. Metformin is the most widely used diabetes drug in the world, with over 61 million prescriptions for the medicine filled in the United States alone in 2012. To evaluate the effects of the drug on cognitive impairment in people with diabetes, researchers recruited 1,354 people from various locations in Australia. The researchers included people with Alzheimer disease and mild cognitive impairment, as well as those who were cognitively normal, but they did not include people with stroke or neurological conditions other than Alzheimer. The participants had an average age of 73.8 and almost 60% were female The study used an evaluation known as the mini-mental state exam to determine cognitive performance. According to the results, slightly more than half of the participants were not cognitively impaired, while 21.8% were minimally impaired, 17.7% were mildly impaired, and 10.1% were most impaired. In their analysis, the researchers found that people with Type 2 diabetes had worse cognitive performance than those without Type 2 and that, among those with diabetes, people taking metformin had worse cognitive performance than those not taking the medicine. Cognitive function scores were also found to be lower among those with vitamin B12 levels of less than 250 pmol/l. Because metformin is known to be associated with B12 deficiency, the investigators suggested that “any effect metformin has on cognitive performance may be at least partially mediated by altering serum vitamin B12 levels.” Limitations of the study include an insufficient amount of information about the duration of t Continue reading >>

Metformin Side Effects And How To Deal With Them
Metformin side effects include diabetic neuropathy, brain fog, and digestive issues. You can address them through diet, Vitamin B12, CoQ10, and exercise. Let us understand the drug Metformin in detail and study different forms of metformin, its uses and common metformin side effects along with how to deal with them. Metformin: What Is It Used For? Metformin is an old warhorse in the pharma battle against diabetes. It has been the mainstay in the treatment of Type 2 Diabetes for more than fifty years, often matching or outperforming newer drugs. In fact, many new combination drugs are often created with metformin as one of the main ingredients. Thanks to its long run in the pharmaceutical world, the side effects of Metformin are also well known. The Metformin-PCOS connection has been studied extensively since a majority of health complications associated with PCOS (polycystic ovarian syndrome) are due to hyperinsulinemia (high amounts of insulin in the blood stream). Metformin is known to reduce circulating insulin levels. The use of this drug in women with PCOS has shown highly encouraging results. RELATED: 10 Easy Breakfast Ideas For Diabetics Most Prescribed Names in Metformin Category Include: Fortamet: It is an extended-release formulation that contains metformin hydrochloride. The tablets are designed for once-a-day administration. They deliver either 500 mg or 1000 mg of metformin. The tablet is made using a patented technology called SCOTTM that delivers the active compound slowly and at a constant rate. Glucophage: Glucophage tablets contain metformin hydrochoride. They contain either 500 mg, 850 mg or 1000 mg of the active compound. Glucophage tablets do not contain any special covering and need to be taken multiple times a day until the prescribed dosage is me Continue reading >>

The Effect Of Diabetes Medication On Cognitive Function: Evidence From The Path Through Life Study
The Effect of Diabetes Medication on Cognitive Function: Evidence from the PATH Through Life Study Centre for Research in Ageing Health and Wellbeing, Australian National University, Canberra, ACT 0200, Australia *Pushpani M. Herath: [email protected] Received 2016 Feb 9; Accepted 2016 Mar 14. Copyright 2016 Pushpani M. Herath et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Objective. To examine the effect of diabetes treatment on change of measures of specific cognitive domains over 4 years. Research Design and Methods. The sample was drawn from a population-based cohort study in Australia (the PATH Through Life Study) and comprised 1814 individuals aged 6569 years at first measurement, of whom 211 were diagnosed with diabetes. Cognitive function was measured using 10 neuropsychological tests. The effect of type of diabetes treatment (diet, oral hypoglycemic agents, and insulin) on measures of specific cognitive domains was assessed using Generalized Linear Models adjusted for age, sex, education, smoking, physical activity level, BMI, and hypertension. Results. Comparison of cognitive function between diabetes treatment groups showed no significant effect of type of pharmacological treatment on cognitive function compared to diet only group or no diabetes group. Of those on oral hypoglycaemic treatment only, participants who used metformin alone had better cognitive function at baseline for the domains of verbal learning, working memory, and executive function compared to participants on other forms of diabetic treatment. Conclusion. Continue reading >>

Side Effects Of Metformin: What You Should Know
Metformin is a prescription drug used to treat type 2 diabetes. It belongs to a class of medications called biguanides. People with type 2 diabetes have blood sugar (glucose) levels that rise higher than normal. Metformin doesn’t cure diabetes. Instead, it helps lower your blood sugar levels to a safe range. Metformin needs to be taken long-term. This may make you wonder what side effects it can cause. Metformin can cause mild and serious side effects, which are the same in men and women. Here’s what you need to know about these side effects and when you should call your doctor. Find out: Can metformin be used to treat type 1 diabetes? » Metformin causes some common side effects. These can occur when you first start taking metformin, but usually go away over time. Tell your doctor if any of these symptoms are severe or cause a problem for you. The more common side effects of metformin include: heartburn stomach pain nausea or vomiting bloating gas diarrhea constipation weight loss headache unpleasant metallic taste in mouth Lactic acidosis The most serious side effect metformin can cause is lactic acidosis. In fact, metformin has a boxed warning about this risk. A boxed warning is the most severe warning from the Food and Drug Administration (FDA). Lactic acidosis is a rare but serious problem that can occur due to a buildup of metformin in your body. It’s a medical emergency that must be treated right away in the hospital. See Precautions for factors that raise your risk of lactic acidosis. Call your doctor right away if you have any of the following symptoms of lactic acidosis. If you have trouble breathing, call 911 right away or go to the nearest emergency room. extreme tiredness weakness decreased appetite nausea vomiting trouble breathing dizziness lighthea Continue reading >>

Metformin And Dementia - The Good, The Bad, And The Ugly
Metformin ...a commonly prescribed drug to control blood sugar might increase the risk of Alzheimer’s disease. Metformin ...a common diabetic drug may help in fighting brain disorders like Alzheimer's or dementia Late last year a friend and reader of this blog suggested I look into the drug Metformin as possibly being beneficial in treating FTD. It was published all over the place that Metformin was a possible cure for Alzheimer's - even Time Magazine picked up the story. Well, it made for nice headlines, but after a couple months of digging more deeply into the actual research I am left a little confused, and very skeptical. To be sure you really have to dig deep to get a clear picture. If you were to Google "Metformin + Dementia" the results returned are overwhelmingly positive. If you Google "Metformin+increased amyloid" they are overwhelmingly negative. The way I see it, in my own demented mind, is that the research needs to be interpreted very conservatively when it comes to pointing a finger at Metformin as either a cause or a cure. It is probably neither. When I delved into the actual chemistry it appears that it is Insulin, rather than Metformin, that is causing the actual beneficial effects observed. Metformin serves to manipulate the uptake and activity of Insulin in the brain, and influences the utilization of glucose in the process. It all comes back to the original hypothesis that Amyloid and Tau overproduction and phosphorylization is a byproduct of brain cells being starved for nutrition, and overproducing those substances in a last-gasp effort at survival. That is just my oversimplified summary-interpretation of what is going on based on the result that Metformin alone causes an increase in amyloid, and Metformin along with Insulin reduces amyloid. Mor Continue reading >>

In Some Patients Metformin Impairs Thinking
The widely acclaimed diabetes drug metformin was linked with impaired brain function in patients who took the drug, although supplementation with vitamin B12 may alleviate metformin-induced deficiencies, according to new research. In a retrospective study, diabetic patients who were taking metformin had worse cognitive performance than those not taking the drug (odds ratio 2.23, 95% CI 1.05-4.75), Eileen Moore, PhD, of the University of Melbourne in Australia, and colleagues reported online in Diabetes Care. Additionally, patients with diabetes who had vitamin B12 levels less than 250 pmol/L also had worse cognitive performance (OR 2.29, 95% CI 1.12-4.66), and the association between metformin and cognitive impairment was weakened after adjusting for vitamin B12 levels, they stated. "Increased monitoring of cognitive ability in patients with diabetes who use metformin is warranted, particularly among older adults," they wrote, adding that "prospective trials are warranted to assess the beneficial effects of vitamin B12 and calcium use on cognition in older people with diabetes who are taking metformin." Metformin has been hailed as a sort of wonder drug, with benefits in a number of comorbidities including heart disease and cancer. But some research has suggested that it's not such a boon to cognitive outcomes, mainly because of its association with vitamin B12 deficiency. To assess the effects of the drug on cognitive performance, the researchers looked at data from 1,354 patients involved in various trials: the Primary Research in Memory (PRIME) clinics study, the Australian Imaging, Biomarkers, and Lifestyle (ABIL) study, and clinical data from the Barwon region of southeastern Australia. Moore and colleagues included patients with Alzheimer's disease and mild cognit Continue reading >>

Study: Metformin Linked To Higher Risk Of Alzheimer’s And Parkinson’s
A recent study found that the use of metformin in people with diabetes increased their risk for developing dementia and Parkinson’s Disease. This may be surprising as not too long ago, we reported on a different study which found the opposite–that using metformin might lower the risk for dementia in older men. The study from Taiwanese researchers was presented on March 29, 2017 at The 13th International Conference on Alzheimer’s and Parkinson’s Diseases in Vienna Austria by Dr. Yi-Chun Kuan from the Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan. The researchers found that long-term use of metformin may raise the risk of neurodegenerative disease in those with type 2 diabetes. How Harmful Might Metformin Be to the Brain? As reported by Medscape Medical News, Yi-Chun Kuan and team conducted a cohort study to follow a total 9,300 patients with type 2 diabetes in Taiwan for up to 12 years. They checked records for these patients from the National Health research database of Taiwan including 4,651 who had metformin prescriptions and 4651 matched controls who didn’t take any metformin. Dr. Kuan told Medscape they adjusted for age, sex, and diabetes severity and that despite this, “the cumulative incidences of Parkinson’s and dementia were significantly higher for our metformin cohort” at 12 years. In fact, the risk for Parkinson’s disease or Alzheimer’s dementia went up over 50 percent during a 12 year period in those who took metformin when compared to those who did not. Researchers also found that “outcome risks increased progressively with higher dosage and longer duration of treatment.” Dr. Yi-Chun Kuan said, “We’d heard about a possible protective effect from metformin. However, we found the reverse,” and she added t Continue reading >>

8 Steps To Reverse Memory Loss
Q: “My parents are getting older and I want to do everything I can to help them prevent Alzheimer’s, considering both my grandmothers had this disease, and I am worried about getting it too.” writes this week’s house call. “What can we do to prevent dementia?” A: The truth is, dementia is a very big problem that’s becoming bigger every day. Statistics are grim. 10 percent of 65-year-olds, 25 percent of 75-year-olds, and 50 percent of 85-year-olds will develop dementia or Alzheimer’s disease. And the fastest growing segment of our population is the 85-year-olds. Researchers predict Alzheimer’s will affect 106 million people by 2050. It’s now the seventh leading cause of death. Scientists now call Alzheimer’s disease “Type 3 diabetes.” What’s the link between Alzheimer’s and diabetes? Well, new research shows insulin resistance, or what I call diabesity (from eating too many carbs and sugar and not enough fat) is one of the major factors that starts the brain-damage cascade, which robs the memory of over half the people in their 80s, leading to a diagnosis of Alzheimer’s disease. But don’t think too much insulin affects only older folks’ memories. It doesn’t just suddenly occur once you’re older. Dementia actually begins when you’re younger and takes decades to develop and worsen. Here’s the bad news/good news. Eating sugar and refined carbs can cause pre-dementia and dementia. But cutting out the sugar and refined carbs and adding lots of fat can prevent, and even reverse, pre-dementia and early dementia. More recent studies show people with diabetes have a four-fold risk for developing Alzheimer’s. People with pre-diabetes or metabolic syndrome have an increased risk for having pre-dementia or mild cognitive impairment (MCI) Continue reading >>

Will You Have Sudden Forgetfulness With Metformin - From Fda Reports - Ehealthme
A study for a 68 year old man who takes Sotalol Hydrochloride NOTE: The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk. You may report adverse side effects to the FDA at or 1-800-FDA-1088 (1-800-332-1088). If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Continue reading >>

Memory Loss (amnesia)
Memory loss can be caused by a number of factors, from short term causes such as low blood sugar or medication side effects to long term health issues such as dementia. Treatment for long term memory loss will depend on what is causing it. Evidence from research suggests that good control of diabetes can help prevent memory problems developing over the longer term. Memory loss tends to become more prevalent as we get older. The NHS notes that around four in 10 people over the age of 65, in the general population, have some form of memory difficulties. The NHS notes that around 4 in 10 people over the age of 65, in the general population, have some form of memory difficulties. How can diabetes affect memory loss? Memory loss in diabetes can be a short term problem brought on by too low or high blood glucose levels. During hypoglycemia, for example, you may struggle to remember words. This is not necessarily a sign of a long term problem. In most cases, raising sugar levels over 4 mmol/l should get your memory back to normal. If memory problems happen at other times and this significantly affects your life, speak to your GP. Diabetes can increase the risk of developing long-term memory problems if blood glucose levels are less well controlled. High blood glucose levels, over a number of years, can damage the nerves, including those of the brain, which can increase the risk of dementia. Research shows that good diabetes management can help prevent memory problems from developing or advancing. Symptoms of memory loss Symptoms of memory loss could include: Not being able to recall an important event in your life Forgetting what you have just done Forgetting where things in your home are Forgetting the names of people close to you Some of these can happen to all of us from ti Continue reading >>