A February study of more than 98,000 U.S
Chen G, et al
Drug interactions : Both supplements may interact with medications: Berberine and diabetes medications : Berberine can lower blood glucose and may potentiate the effects of metformin, sulphonylureas, or insulin, increasing the risk of hypoglycaemia
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If exposure was less than 8 hours and the vial shows no visible changes, many clinicians advise proceeding with caution