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Published meta-analyses show berberine reduces fasting blood glucose by roughly 1015 mg/dL and HbA1c by 0.50.6% in people with type 2 diabetes or metabolic syndrome (Liang et al., 2019

Because of its patent, Novo Nordisk is able to charge whatever it wants and according to the Institute for Clinical and Economic Review, Novo Nordisk is grossly overcharging

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Those taking concurrent GLP-1 medications or insulin should work with their healthcare team to adjust dosing and monitoring protocols, as additive effects may require close glycemic surveillance

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