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Early research suggests that taking acetyl-L-carnitine might reduce feelings of tiredness in people with multiple sclerosis

Important safety considerations when using these supplements together include: Drug interactions : Berberine may potentially interact with numerous medications, including antidiabetic drugs (increasing hypoglycaemia risk), anticoagulants, and medications metabolised by CYP450 enzymes (such as ciclosporin and certain statins)
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J Am Coll Nutr 34:175183
