It goes by other brand and generic names such as:
Approved in 1994, the way Metformin works is by increasing the individual’s sensitivity to her/his own insulin, reducing liver glucose production, and decreasing the amount of sugar absorbed by the intestines. (1)
Side Effects of Metformin
One of the problems with Metformin’s actions is that it causes vitamin B12 deficiency.
This side effect has been known since 2006. By way of the same mechanism that blocks sugar absorption by the intestines, this essential vitamin is also blocked. The extent of the deficiency is dose- and time-dependent: the higher the amount you take and the longer you take Metformin, the greater and more critical the deficiency.
In fact, a 2016 study conducted by the Albert Einstein College of Medicine in NY monitored the B12 levels of people taking a placebo and metformin twice a day for 5 and 13 years. Plus “Those who used to take metformin had lower levels of vitamin B12 in comparison to those who took the placebo.”(4)
See also: Reversing diabetes Type-2