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Dec 2016;62(6):387-395
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Taking berberine alongside metformin, insulin, or sulfonylureas such as gliclazide is not recommended without medical supervision, as the combination may cause additive blood glucose-lowering effects and increase the risk of hypoglycaemia
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If your liver is stressed from alcohol, medication, or unhealthy food, it may not work correctly
Metformin is usually taken by mouth and has decades of use in type 2 diabetes care
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