Identification of a genetic risk factor for metformin-induced vitamin B12 deficiency

The observed genetic association suggests that the rs180122 genotype should be considered a significant risk factor for metformin-induced vitamin B<sub>12</sub> deficiency. While clinical monitoring of serum vitamin B<sub>12</sub> levels in patients on metformin is inconsistently done, this finding highlights the potential clinical utility of targeted monitoring for certain subsets of individuals, including those genetically at high risk.

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Publication Details

Journal
Diabetologia
Published
2026-01-15
DOI
https://doi.org/10.1007/s00125-025-06655-5
Primary Topic
Folate and B Vitamins Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Identification of a genetic risk factor for metformin-induced vitamin B12 deficiency

LEWIS A. GREEN, Campbell Archie I., Josephine Li, Shiyu Shu et al.
Diabetologia
Folate and B Vitamins Research
article

Identification of a genetic risk factor for metformin-induced vitamin B12 deficiency

LEWIS A. GREEN, Campbell Archie I., Josephine Li, Shiyu Shu, R. Pearson Ewan, C N Palmer, Qing Pan, C Hayward, Faye D. Baldwin, Munir Pirmohamed, Andrea L. Jorgensen, Daniel F. Carr, Khaled F. Bedair, Innocent G. Asiimwe
article en

Abstract

The observed genetic association suggests that the rs180122 genotype should be considered a significant risk factor for metformin-induced vitamin B<sub>12</sub> deficiency. While clinical monitoring of serum vitamin B<sub>12</sub> levels in patients on metformin is inconsistently done, this finding highlights the potential clinical utility of targeted monitoring for certain subsets of individuals, including those genetically at high risk.

DiabetologiaVol. 69(4)
Broad Institute (US), Harvard University (US), University of Liverpool (GB), George Washington University (US), Ninewells Hospital (GB), Edinburgh Cancer Research (GB), Massachusetts General Hospital (US), Cancer Research And Biostatistics (US), Institute of Genetics and Cancer (GB), Medical Research Council (GB)
Wellcome Trust, Scottish Government, UK Research and Innovation, Department of Health and Social Care, Scottish Funding Council, National Institutes of Health, Chief Scientist Office, Scottish Government Health and Social Care Directorate, Medical Research Council, National Institute of Diabetes and Digestive and Kidney Diseases
Openalex Percentile: Top 88%
Folate and B Vitamins Research
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