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Bottom line Berberine has been studied

However, patients also taking insulin or sulfonylureas should monitor blood glucose carefully, as reduced carbohydrate intake may necessitate medication adjustments to prevent hypoglycaemia

The combined activation might trigger metabolic changes that neither hormone produces alone

Bias AA, Hiday RA, Kline MM

Experts believe that as the popularity of Ozempic and other GLP-1 agonists continues to grow, so will the number of people who report adverse gastrointestinal events such as gastroparesis
doi: 10.2337/db18-1123 17 ChristensenMVedtofteLHolstJJVilsbllTKnopFK
