by Eric Christianson | Jan 18, 2026 | Endocrine Case Studies
Prescribing cascades don’t usually start with “bad” medications. In fact, they often begin with some of our most effective therapies. Metformin, SGLT2 inhibitors, and GLP-1 receptor agonists all have strong outcome data in type 2 diabetes. But when adverse effects are...
by Eric Christianson | Jan 14, 2026 | Hematology and Immunology Case Studies
In this case scenario, we discuss the “double trouble” of using PPIs and metformin and their effects on vitamin B12. Mrs. J is a 68-year-old woman with type 2 diabetes and gastroesophageal reflux disease (GERD). She has been taking metformin 1,000 mg twice...
by Eric Christianson | Aug 31, 2025 | Neurology, Pain, and Musculoskeletal Case Studies
RS is a 62-year-old male with a history of type 2 diabetes, hypertension, atrial fibrillation, and metastatic colorectal cancer. He presents to the clinic with complaints of numbness, tingling, and burning pain in both feet that have been gradually worsening over the...
by Eric Christianson | Sep 1, 2024 | Gastrointestinal Case Studies
A 76-year-old male has a past medical history of hypertension, diarrhea, mild cognitive impairment, diabetes, osteoarthritis, and gout. He has had a concern that has been ongoing for about 3 months with the symptoms recently escalating over the last 1-2 weeks....
by Eric Christianson | Jul 24, 2024 | Renal, Urology, and Electrolytes Case Studies
In this post, I will share some questions that I would investigate from this medication list. I have many questions surrounding renal concerns given the use of sevelamer. Metformin (Glucophage): 500 mg twice daily Glipizide (Glucotrol): 5 mg once daily Insulin...
