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Berberine also inhibits dipeptidyl peptidase-4 (DPP-4), which degrades endogenous GLP-1

According to the MHRA SmPC, treatment should start at 2.5 mg once weekly for 4 weeks, then increase by 2.5 mg at 4-week intervals until the target dose is reached (maximum 15 mg weekly)

GLP-1 medications also slow gastric emptying, which can worsen acid reflux in some people, bringing acid into contact with teeth even without vomiting

Understanding how these combinations affect the timeline is important

Cardiovascular Benefits Lowers the risk of major cardiovascular events (e.g., heart attack, stroke) in individuals with Type 2 diabetes existing heart disease
