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Berberine

botanical

Berberine ballicule: receptor binding, kinetics and half-life diagram
Mechanism of action: Berberine ballicule
Berberine mascot mnemonic cartoon
Visual mnemonic: Berberine mascot
“Berry”

What it isPlant alkaloid with AMPK activation and modest glucose and lipid lowering.

Why this oneIts glycemic effect approaches that of low-dose metformin in trials, which is unusual for a supplement.

What limits itIt is a moderate CYP3A4 and CYP2D6 inhibitor, so interactions are real. Product content is unregulated.

Berberine molecular structure (skeletal formula)
Molecular structure: Berberine

FDA-approved for

Off-label

Available strengths

NO BOXED WARNINGS

Principal riskModerate CYP3A4 and CYP2D6 inhibition; unregulated content

Classes and tags

Clinical profile

Therapeutic safety burden1 / 4
Weight-gain liability0 / 4
Direct muscarinic antagonism0 / 4
Embryofetal risk2 / 4

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