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a patient on insulin or sulfonylureas might experience lower blood sugars once berberine is added, so glucose should be monitored and diabetes medications adjusted to avoid hypoglycemia
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This may include zinc, B6/P-5-P, vitamin D, methionine or SAMe when appropriate, creatine, antioxidant support, copper-lowering strategies, protein correction, or treatment of elevated SAH and toxic burden
doi: 10.1002/mnfr.202100206 77 Varela-ReyMIruarrizaga-LejarretaMLozanoJJAransayAMFernandezAFLavinJLet al
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