Rule b12-metformin

MYCIN kept an explanation facility because a rule you cannot inspect is a rule you cannot argue with. This is that facility.

Fires when all of these are true

Points at

Vitamin B12 — strength 0.45 on a scale where 1.0 would be certainty, which no rule here reaches or claims.

Why

Long-term metformin interferes with B12 absorption in the ileum. This is well described and routinely missed.

← the screener

Educational only. This is a frame for thinking about food, not medical or dietary advice, and it does not replace a clinician or a pharmacist. Where a state names a drug interaction, the mechanism and its citations live in interactions-data.mjs — read those before relying on any of it.

This is a screener, not a diagnosis, and it cannot establish any medically determinable impairment. It produces a list of questions and specific tests to bring to a clinician. Nothing here is a finding, a clearance, or a result. If any page renders this as a conclusion about a person, that page is wrong.