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Vitamin B12 Deficiency and the Risk of Anemia in Patients with T2D on Metformin Therapy The MASTERMIND study, published in 2020, analyzed two randomized trials (ADOPT [A Diabetes Outcome Progression Trial] and UKPDS [UK Prospective Diabetes Study]) and an observational cohort study (GoDARTS [Genetics of Diabetes Audit and Research in Tayside Scotland]) to assess the risk of anemia in patients with diabetes treated with metformin [60]

It is possible that relevant scientific findings may have been reported since the completion of the review

Vitamin B12 is essential for red blood cell production, nerve function, energy metabolism and the synthesis of DNA

According to USDA Agricultural Research Service data based on NHANES, approximately 6% of adults aged 60 and older in the United States are vitamin B12 deficient, defined as plasma B12 below 148 pmol/L (2009)