Berberine

Commonly used for
Weight LossHeart HealthMetabolic Health
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Berberine activates metabolic pathways involved in glucose regulation and may improve insulin sensitivity and lipid levels. It can have clinically meaningful effects but also interacts with several medications.
Form: Berberine hydrochloride
Typical dose studied: 500 mg two to three times daily (1,000–1,500 mg/day)
Timing: With meals
GI side effects common initially — start low. Not a replacement for prescribed diabetes therapy.
~ Moderate evidence
Avoid with: Breastfeeding; End-stage liver disease / Cirrhosis
Interacts with: Diabetes medications — risk of hypoglycemia; Cyclosporine; Anticoagulants
Already taking it? Monitor blood glucose carefully to avoid hypoglycemia.
Yin J et al. Berberine and type 2 diabetes. Cicero AFG et al. Berberine metabolic effects. ADA adjunctive evidence discussions on berberine.
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