My father has had type II diabetes for many many years and taking Metformin for almost as long. He has also been taking proton pump inhibitors for about 4 years.
His GP never routinely checks B12 and only checked the other day when my dad (age 80) demonstrated potential signs of dementia.
His was deficient. Injections were done in line with NICE but the GP said sometimes B12 deficiency is linked with Metformin - no mention of the Proton Pump Inhibitors whose timing more closely correlated with the deficiency.
Has anyone else experienced a GP blaming something rather than the obvious, or is Metformin more relevant in the condition?