TY - JOUR T1 - Metformin and vitamin b12 deficiency: Association and not causation may play a major role in cohort studies AU - Lev I Y1 - 2007/04/09 N1 - 10.1001/archinte.167.7.730-a JO - Archives of Internal Medicine SP - 730 EP - 730 VL - 167 IS - 7 N2 - In the October 9th issue of the ARCHIVES, Ting et al1 reported a dose-dependent inverse relationship between daily metformin dosage and low levels of vitamin B12. They also found a higher prevalence of vegetarians in the same group of patients with metformin-related low levels of vitamin B12 (referred to as borderline significant due to a P value of .04 and an odds ratio of 8.19 [95% confidence interval, 0.91-73.9]). The authors tried to suggest a causative relationship and recommend forgoing the annual blood examinations for vitamin B12 levels in metformin-treated patients with diabetes, since the results of such screening should be regarded as obvious.1 SN - 0003-9926 M3 - doi: 10.1001/archinte.167.7.730-a UR - http://dx.doi.org/10.1001/archinte.167.7.730-a ER -