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Supplement

Berberine

Activates AMPK-linked pathways and supports glycemic control.[1836,2625,3691, etc.]

Superscript reference numbers link to the Sources bibliography.

Strong Evidence
Metabolic HealthBody CompositionLongevity

Composite Rating

3.8/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

100/100

High depth from human/RCT/meta counts

Community Direction

1

Mixed / Neutral • confidence Moderate

Safety Friction

100/100

High signal from adverse/interaction markers

Data Completeness

100%

Studies 15 • mentions 16 • links 26

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Goal alignment: Metabolic Health, Body Composition, Longevity.[67,335,361, etc.]

Dose guide: Human-study daily dose: 500 mg-1500 mg/day (moderate-confidence extraction from PubMed abstracts)..[67,335,361, etc.]

Category: botanical.[67,335,361, etc.]

Category

Botanical

Evidence Tier

HIGH

Daily Guide

Human-study daily dose: 500 mg-1500 mg/day (moderate-confidence extraction from PubMed abstracts).

Dosing Guide

Human-study daily dose: 500 mg-1500 mg/day (moderate-confidence extraction from PubMed abstracts).[1836,2625,3691, etc.]

Safety and Pitfalls

  • Can potentiate glucose lowering; monitor carefully[67,335,361, etc.]
  • Potential side effect: constipation[67,335,361, etc.]
  • Potential side effect: GI cramps[67,335,361, etc.]
  • Use caution with condition: pregnancy[67,335,361, etc.]
  • Use caution with condition: liver impairment[67,335,361, etc.]
  • Interaction check: metformin[67,335,361, etc.]
  • Interaction check: insulin[67,335,361, etc.]
  • Interaction check: cyclosporine[67,335,361, etc.]
  • Legacy caution group: Pregnancy[67,335,361, etc.]
  • Legacy caution group: Breastfeeding[67,335,361, etc.]
  • Legacy caution group: Those on diabetes medications without physician monitoring[67,335,361, etc.]

At-A-Glance Evidence Architecture[1836,2625,3691, etc.]

Clinical Depth

Humans: 287 • RCTs: 41 • Meta: 15

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 887 • Interactions: 1,133

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

New Evidence

Trend

→ Stable evidence base

Depth

552 total studies · 4 recent

Timeline

20082025

Top Signal Metrics[1836,2625,3691, etc.]

Animal-only studies

3,020

In vitro / tissue

2,127

Interaction signals

1,133

Safety adverse signals

887

Total indexed

552

Human studies

287

Community Direction Mix[67,335,361, etc.]

Weighted direction score: 1 (Mixed / Neutral)

Benefit7 (44%)
Adverse6 (38%)
No Effect0 (0%)
Mixed3 (19%)

Evidence Quality Summary[1836,2625,3691, etc.]

High when >=2 human meta-analyses, or >=5 human RCTs with substantial human literature volume.

Animal-only studies

3,020

In vitro / tissue

2,127

Interaction signals

1,133

Safety adverse signals

887

Total indexed

552

Human studies

287

Randomized trials

41

Meta-analyses

15

Study Type Breakdown

Distribution of evidence by study design strength

Meta-AnalysesLevel 1a15
Randomized TrialsLevel 1b41
Human Studies (other)Level 3-4231
All IndexedAll levels552
100

Evidence Strength: High

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[1836,2625,3691, etc.]

PMID 32690176 • 2020 Aug

The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trials.

Clin Nutr ESPEN

Open PubMed

PMID 35988871 • 2022 Sep

A network meta-analysis on the comparative effect of nutraceuticals on lipid profile in adults.

Pharmacol Res

Open PubMed

PMID 37675930 • 2023 Dec

Effects of berberine and barberry on selected inflammatory biomarkers in adults: A systematic review and dose-response meta-analysis of randomized clinical trials.

Phytother Res

Open PubMed

PMID 36941490 • 2023 Apr

Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials.

Drugs

Open PubMed

PMID 27157250 • 2016 Aug

The effects of a nutraceutical combination on plasma lipids and glucose: A systematic review and meta-analysis of randomized controlled trials.

Pharmacol Res

Open PubMed

PMID 35623810 • 2022 Jun

Effects berberine-silymarin on liver enzymes: A systematic review and meta-analysis of randomized controlled trials.

Clin Nutr ESPEN

Open PubMed

PMID 33024120 • 2020 Oct 6

Gut microbiome-related effects of berberine and probiotics on type 2 diabetes (the PREMOTE study).

Nat Commun

Open PubMed

PMID 18442638 • 2008 May

Efficacy of berberine in patients with type 2 diabetes mellitus.

Metabolism

Open PubMed

PMID 34923903 • 2022 Jan-Dec

Combined berberine and probiotic treatment as an effective regimen for improving postprandial hyperlipidemia in type 2 diabetes patients: a double blinded placebo controlled randomized study.

Gut Microbes

Open PubMed

PMID 39998703 • 2025 Feb 25

The efficacy and safety of berberine in combination with cinnamon supplementation in patients with type 2 diabetes: a randomized clinical trial.

Eur J Nutr

Open PubMed

PMID 39107107 • 2024 Aug

Inflammatory markers and noncoding-RNAs responses to low and high compressions of HIIT with or without berberine supplementation in middle-aged men with prediabetes.

Physiol Rep

Open PubMed

PMID 41305635 • 2025 Nov 16

The Influence of Berberine on Vascular Function Parameters, Among Them VEGF, in Individuals with MAFLD: A Double-Blind, Randomized, Placebo-Controlled Trial.

Nutrients

Open PubMed

PMID 38659110 • 2024 Jun

Dietary supplements: clinical cholesterol-lowering efficacy and potential mechanisms of action.

Int J Food Sci Nutr

Open PubMed

PMID 36561763 • 2022

Berberine a traditional Chinese drug repurposing: Its actions in inflammation-associated ulcerative colitis and cancer therapy.

Front Immunol

Open PubMed

PMID 37298967 • 2023 Jun 1

A Descriptive Review of the Action Mechanisms of Berberine, Quercetin and Silymarin on Insulin Resistance/Hyperinsulinemia and Cardiovascular Prevention.

Molecules

Open PubMed

Community Report Frequency[67,335,361, etc.]

Benefit reports: 7

Adverse reports: 6

No-effect reports: 0

Mixed reports: 3

Unclear reports: 0

Signal confidence: 0.52

Top Reported Effects[67,335,361, etc.]

Benefits

  • weight loss: 4
  • effective: 2
  • better: 2
  • improved: 1
  • worked: 1
  • helped: 1
  • reduced: 1
  • energy: 1

Adverse

  • anxiety: 2
  • bloating: 2
  • side effects: 2
  • diarrhea: 2
  • constipation: 1
  • insomnia: 1
  • nausea: 1
  • cramps: 1

No Effect

  • hard to tell: 1

High empirical usage in glucose-management stacks. | Step2: Insufficient empirical signal for a directional adjustment.

Reddit evidence: 13 mentions (confidence 0.52) across Biohackers, Supplements.

Amazon signal: 0 products scanned (confidence 0.00).

GNC signal: 0 products scanned (confidence 0.00) [BLOCKED].

PerimeterX / captcha block encountered.

Use adverse/interactions PubMed signal counts for screening; perform clinician review before high-dose or multi-drug stack use.

Human-study daily dose signal: 500 mg-1500 mg/day (confidence MEDIUM).

Extracted from 3 dosing mentions across 3 PubMed studies (mg/day).

Imported legacy community score: 9.0/10 (heuristic mapping confidence 1.00).

Imported legacy monthly cost signal: ~$18.00.

Legacy community note: Called "nature's metformin" - extremely popular for blood sugar and weight management. Users show dramatic fasting glucose improvements on bloodwork. GI side effects are the main complaint but usually resolve. Dihydroberberine gaining popularity for better tolerance.

Community Evidence Examples[67,335,361, etc.]

post • r/Biohackers • mixed

Berberine and obesity legit potential or just another supplement hype? I came across this new research paper on arXiv that reviews berberine, a plant compound you see in a lot of herbal supplements, as a possible treatment for obesity. Wha…

Open mention

post • r/Supplements • benefit

How effective is berberine from slow Hey peeps! So I’m badly wanting to reduce my weight and tummy..but somehow I end up eating more as Im a foodie! Does this berberine really would help me cutting my appetite?

Open mention

post • r/Supplements • mixed

Can i take berberine with other supplements? I am 26 F, I have pcos and have also been managing pvcs naturally. I used to take berberine and it worked really well to help me lower my A1C. I stopped taking it after my levels were better. I …

Open mention

post • r/Biohackers • benefit

Is stacking berberine and metformin pushing biohacking too far for weight loss?

Open mention

post • r/Supplements • adverse

Gut health supplements, berberine, L-Glutamine, oil of oregano? Pre/probiotics Hey there, looking to hear positive or negative experiences with L Glutamine, berberine, oil or oregano and pre or pro biotic for gut health specifically chroni…

Open mention

post • r/Supplements • unclear

Berberine supplement when you’re on hypertension meds Is there anyone here on hypertension medication that also takes berberine? I (32F) am on losartan+amlo 50/5 mg. On my last bloodwork and check up last month, my Hba1c is fine but my FBS…

Open mention

post • r/Biohackers • mixed

No supplements help with my quality of life except for berberine? I have been taking berberine for nearly a month now. It reduced gas, bloating, food coma and sugar cravings. On top of that, I feel like a new person as it has helped A LOT …

Open mention

post • r/Biohackers • benefit

Anyone tried Beneve’s Xcelerate Stack 3 in place of Berberine for weight loss? Stumbled across this Creator on TikTok, who is a pharmacist. Apparently, they have a supplement that can be used in place of berberine that's apparently more ef…

Open mention

comment • r/Biohackers • unclear

I heard that a lot actually berberine seems super hit or miss depending on the person. Did you try it for blood sugar specifically or something else?

Open mention

comment • r/Biohackers • benefit

Here's my berberine experiment: [https://www.youtube.com/watch?v=Tvo5V-Eam-8](https://www.youtube.com/watch?v=Tvo5V-Eam-8) Not bad as far as glucose and insulin. But if it would translate into weight loss is strongly dependant on the initi…

Open mention

Retail Signal Examples

amazon

Amazon search for Berberine

Rating: n/a | Reviews: n/a

Open product

Primary Source Links

Evidence Sources

  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22berberine%22)%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22berberine%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22berberine%22)%20AND%20animals%5BMeSH%20Terms%5D%20NOT%20humans%5BMeSH%20Terms%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22berberine%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20randomized%20controlled%20trial%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22berberine%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20meta-analysis%5BPublication%20Type%5D
  • https://pubmed.ncbi.nlm.nih.gov/32690176/
  • https://pubmed.ncbi.nlm.nih.gov/35988871/
  • https://pubmed.ncbi.nlm.nih.gov/37675930/
  • https://pubmed.ncbi.nlm.nih.gov/36941490/
  • https://pubmed.ncbi.nlm.nih.gov/27157250/
  • https://pubmed.ncbi.nlm.nih.gov/35623810/
  • https://pubmed.ncbi.nlm.nih.gov/33024120/
  • https://pubmed.ncbi.nlm.nih.gov/18442638/
  • https://pubmed.ncbi.nlm.nih.gov/34923903/
  • https://pubmed.ncbi.nlm.nih.gov/39998703/
  • https://pubmed.ncbi.nlm.nih.gov/39107107/
  • https://pubmed.ncbi.nlm.nih.gov/41305635/
  • https://pubmed.ncbi.nlm.nih.gov/38659110/
  • https://pubmed.ncbi.nlm.nih.gov/36561763/
  • https://pubmed.ncbi.nlm.nih.gov/37298967/

Community Sources

  • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22berberine%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)
  • https://old.reddit.com/r/Biohackers/comments/1nugurq/berberine_and_obesity_legit_potential_or_just/.json?raw_json=1&sort=top&limit=25
  • https://old.reddit.com/r/Supplements/comments/1r27lvg/how_effective_is_berberine_from_slow/.json?raw_json=1&sort=top&limit=25
  • https://old.reddit.com/r/Supplements/comments/1qgxkla/can_i_take_berberine_with_other_supplements/.json?raw_json=1&sort=top&limit=25
  • https://www.reddit.com/search/?q=Berberine

Scientific Evidence Notes[1836,2625,3691, etc.]

1. Berberine and glycemic markers

META_ANALYSIS • 2023 • Adults

Type 2 diabetes and metabolic syndrome cohorts.

Outcome: Reduces fasting glucose and HbA1c in many trials.[1836,2625,3691, etc.]

2. PubMed evidence summary: Berberine

PUBMED • Humans + preclinical triage

Counts aggregated from automated literature sweep and tiering rules.

Outcome: Tier HIGH; humans 287, RCTs 41, meta-analyses 15.[1836,2625,3691, etc.]

Open source
3. The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trials.

PUBMED • 2020 • Human evidence curation set

PMID 32690176 from Clin Nutr ESPEN.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
4. A network meta-analysis on the comparative effect of nutraceuticals on lipid profile in adults.

PUBMED • 2022 • Human evidence curation set

PMID 35988871 from Pharmacol Res.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
5. Effects of berberine and barberry on selected inflammatory biomarkers in adults: A systematic review and dose-response meta-analysis of randomized clinical trials.

PUBMED • 2023 • Human evidence curation set

PMID 37675930 from Phytother Res.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
6. Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials.

PUBMED • 2023 • Human evidence curation set

PMID 36941490 from Drugs.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
7. The effects of a nutraceutical combination on plasma lipids and glucose: A systematic review and meta-analysis of randomized controlled trials.

PUBMED • 2016 • Human evidence curation set

PMID 27157250 from Pharmacol Res.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
8. Effects berberine-silymarin on liver enzymes: A systematic review and meta-analysis of randomized controlled trials.

PUBMED • 2022 • Human evidence curation set

PMID 35623810 from Clin Nutr ESPEN.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
9. Gut microbiome-related effects of berberine and probiotics on type 2 diabetes (the PREMOTE study).

PUBMED • 2020 • Human evidence curation set

PMID 33024120 from Nat Commun.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
10. Efficacy of berberine in patients with type 2 diabetes mellitus.

PUBMED • 2008 • Human evidence curation set

PMID 18442638 from Metabolism.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
11. Combined berberine and probiotic treatment as an effective regimen for improving postprandial hyperlipidemia in type 2 diabetes patients: a double blinded placebo controlled randomized study.

PUBMED • 2022 • Human evidence curation set

PMID 34923903 from Gut Microbes.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
12. The efficacy and safety of berberine in combination with cinnamon supplementation in patients with type 2 diabetes: a randomized clinical trial.

PUBMED • 2025 • Human evidence curation set

PMID 39998703 from Eur J Nutr.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
13. Inflammatory markers and noncoding-RNAs responses to low and high compressions of HIIT with or without berberine supplementation in middle-aged men with prediabetes.

PUBMED • 2024 • Human evidence curation set

PMID 39107107 from Physiol Rep.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
14. The Influence of Berberine on Vascular Function Parameters, Among Them VEGF, in Individuals with MAFLD: A Double-Blind, Randomized, Placebo-Controlled Trial.

PUBMED • 2025 • Human evidence curation set

PMID 41305635 from Nutrients.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
15. Dietary supplements: clinical cholesterol-lowering efficacy and potential mechanisms of action.

PUBMED • 2024 • Human evidence curation set

PMID 38659110 from Int J Food Sci Nutr.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
16. Berberine a traditional Chinese drug repurposing: Its actions in inflammation-associated ulcerative colitis and cancer therapy.

PUBMED • 2022 • Human evidence curation set

PMID 36561763 from Front Immunol.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source
17. A Descriptive Review of the Action Mechanisms of Berberine, Quercetin and Silymarin on Insulin Resistance/Hyperinsulinemia and Cardiovascular Prevention.

PUBMED • 2023 • Human evidence curation set

PMID 37298967 from Molecules.

Outcome: See linked PubMed abstract for methods and outcomes.[1836,2625,3691, etc.]

Open source