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Which Supplements Interact With Metformin?
Supplements that interact with metformin cannot be listed completely, and we hold sources for only some. MedlinePlus tells metformin users to report every supplement and any past low B12. Chromium, ginseng, African mango and astragalus carry blood sugar notes, so the pharmacist should see the whole label.
Written by the Sugar Defender label deskUpdated · 4 min read

The starting point01
Which supplements interact with metformin?
No short list is complete, so the safest start is the metformin guidance itself: tell your doctor and pharmacist about all vitamins, supplements and herbal products (MedlinePlus, Metformin).
That guidance also asks about low vitamin B12. Many readers want a ranked list of berberine, goldenseal and B12. We hold no cited interaction source for berberine or goldenseal, so we do not rank them. NCCIH only calls the evidence for berberine and chromium in diabetes weak (NCCIH, Diabetes and Dietary Supplements).
What sources say02
What do the sources say about common ingredients?
Four ingredients on the Sugar Defender label carry blood sugar notes in sources that mention diabetes drugs.
| Ingredient | Source note |
|---|---|
| Chromium | May add to diabetes drugs and raise low-sugar risk (NIH ODS, Chromium) |
| Ginseng | Might lower blood sugar; people with diabetes should consult a provider (NCCIH, Asian Ginseng) |
| African mango | Caution with antidiabetic medicines (MSKCC, Irvingia gabonensis (African mango)) |
| Astragalus | A low-quality 2024 review saw extra glucose lowering with metformin (NCCIH, Astragalus) |
Amounts03
Do the amounts in Sugar Defender make these notes matter?
Amounts are the missing piece. The chromium figure is 0.7 mcg, while studies used 200 to 1,000 mcg a day.
The blend is hidden, so a small amount cannot be told from none. That uncertainty is why the label asks you to consult a physician. Keep taking prescribed metformin, and see the chromium page for the numbers.

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What should you ask the pharmacist?
Hand over the label and ask whether anything on it is a known question for metformin.
- Whether the chromium and herbal notes apply to your dose
- Whether your B12 history changes anything
The supplements and diabetes medicines guide has more questions.
If you decide05
What does Sugar Defender cost?
Three bottles cost $207 and six cost $294, with free US shipping on both; two cost $158 plus shipping.



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Sugar Defender questions people ask
Does vitamin B12 matter for people on metformin?
MedlinePlus asks metformin users whether they have ever had low B12 (MedlinePlus, Metformin). Sugar Defender does not list B12. Raise the question with your prescriber.
Can an herbal supplement raise the risk of a low?
It can in some cases. The ADA warns that some supplements cause low blood glucose when combined with diabetes drugs (ADA, Vitamins & Supplements). Know the signs of a low.
Is a supplement with a printed amount easier to check than a blend?
Yes. A pharmacist can look up a stated amount, while a proprietary blend lists only a total weight (21 CFR 101.36 (eCFR)).
Who wrote this07
Written and reviewed by
Pages built from the label, the sales page and linked NIH, FDA, CDC, FTC and peer-reviewed sources.
Last updated . Read our editorial standards and how we check reviews. This website is run by Isugardefender, a Sugar Defender U.S. shop, not by the manufacturer or the distributor. We earn money when you buy through our order links.
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