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Berberine
Berberine/Nutrient Depletion:
Glucose
Glucose: In humans, berberine and berberine hydrochloride have been shown to lower fasting plasma glucose (
30
;
31
;
32
;
33
;
34
), post-prandial plasma glucose (
31
), post-load plasma glucose (
30
), and HbA1c levels (
30
;
31
;
32
). Berberine, as part of a mixed nutraceutical, has been shown to improve insulin sensitivity in individuals with hypercholesterolemia (
93
;
94
). Moreover berberine hydrochloride has been shown to reduce both fasting insulin level (
33
) and insulin resistance (
33
). Similar effects have been documented in animal research (
35
;
36
;
37
;
38
;
39
;
40
;
41
;
42
;
43
;
44
;
45
;
46
;
47
).
Lipids
Lipids: In humans, berberine and berberine hydrochloride monotherapy have been shown to reduce levels of triglyceride (
30
;
31
;
73
;
32
;
78
;
33
;
79
), total cholesterol (
30
;
31
;
73
;
78
;
33
;
79
), and low-density lipoprotein (LDL) cholesterol (
30
;
73
;
78
;
33
). Similar total cholesterol- and LDL cholesterol-lowering effects have also been observed following combination berberine therapy (
94
;
93
;
78
;
108
). Interestingly, although some clinical studies of berberine and berberine hydrochloride monotherapy have observed increased levels of high-density lipoprotein (HDL) cholesterol (
73
;
78
;
33
), similar effects have been inconsistent following berberine combination therapy (
94
;
78
). Effects were lacking between groups in other studies (
52
). Similar effects have been shown in animal research (
76
;
77
;
46
).