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Current evidence quality : Most berberine studies are relatively small, short-term (typically 816 weeks), and conducted primarily in Asian populations, which may limit generalisability
Alcohol is best avoided entirely during the first week or two, as it can worsen nausea and dehydration whilst also potentially interacting with the medication's effects on blood sugar regulation

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Small changes, done consistently, can add up to better appetite control, steadier energy, and more balanced blood sugarone meal at a time.
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