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    Berberine

    Berberine is a yellow alkaloid naturally present in several plants, including goldenseal, Oregon grape, and barberry. It has a long history in traditional Chinese and Ayurvedic medicine and has gained significant attention in modern research for its potent effects on blood sugar regulation and metabolic health.

    Research Evidence
    Activates AMPK pathway to support metabolic function
    Strong
    May support healthy body composition as part of metabolic optimization
    Moderate
    Potential benefits for gut microbiome diversity
    Limited
    Supports healthy blood glucose levels
    Strong
    May improve cholesterol markers including LDL reduction
    Moderate

    Expert Evidence

    16 references from 3 experts

    Currently takes

    “I also don't take what some people call the poor man's version of metformin, which is berberine. Berberine gives me brutal headaches. Berberine lowers blood glucose, and that's why I think it's giving me brutal headaches.”

    AMA #12: Thoughts on Longevity Supplements (Resveratrol, NR, NMN, Etc.) & How to Improve Memory

    18:59
    Andrew Huberman

    9 references in 7 episodes from 2021–2025

    AI-generated summary

    Huberman recognizes berberine as a highly effective blood glucose-lowering supplement comparable to metformin, but personally advises against it due to severe hypoglycemic side effects he experiences, including brutal headaches and carbohydrate cravings. No specific dosing guidance or best practices were discussed.

    Consumption

    Huberman has tried berberine and found it effectively blunts blood glucose response when taken with carbohydrates, particularly those high in simple sugars.

    Benefits

    Berberine is described as one of the most effective supplements for lowering blood glucose, activating the AMPK pathway similarly to metformin, which in turn reduces insulin and promotes fat oxidation.

    Cautions

    Huberman personally experiences brutal headaches, hypoglycemia, and carbohydrate cravings from berberine, especially when taken without carbohydrates. He also notes a "dawn phenomenon" where it drops blood sugar during sleep, and recommends consulting a doctor and starting with the lowest effective dose.

    Discusses

    “This is why I elected not to include berberine in my microvitamin for otherwise healthy people. I don't want to risk lowering exercise performance or testosterone levels.”

    Should You Take Berberine?

    10:15
    Brad Stanfield

    5 references in 3 episodes from 2023–2025

    AI-generated summary

    Brad Stanfield acknowledges berberine's mechanisms for reducing LDL cholesterol and activating AMPK, but ultimately recommends against it for healthy people due to poor bioavailability and potential risks to exercise performance and testosterone. There is no evidence of personal use, and no specific dosing guidance was discussed.

    Benefits

    Berberine reduces LDL cholesterol through multiple mechanisms: blocking PCSK9 protein, reducing gut absorption of dietary cholesterol, and enhancing liver LDL receptors. It also activates AMPK, a key cellular energy sensor that acts as a metabolic master switch.

    Cautions

    Berberine has poor bioavailability — the body struggles to absorb it, and what is absorbed is rapidly broken down by the liver. Stanfield excluded it from his microvitamin formulation due to concerns about lowering exercise performance and testosterone levels in otherwise healthy people.

    Discusses

    “The way I plan on supplementing with berberine is I will take it in the evening. I do my exercise in early morning, and most of my supplements I take with dinner.”

    Should You Supplement With Berberine? - Rhonda Patrick

    14:33
    Rhonda Patrick

    2 references in 1 episode from 2025

    AI-generated summary

    Rhonda Patrick plans to supplement with berberine in the evening alongside dinner, separating it from her morning exercise routine. She cautions that berberine can interact with prescription drugs, particularly blood pressure medications and blood thinners, increasing risks of hypotension and bleeding. No specific dosage is mentioned, and no benefits or reasons for taking it are discussed in these references.

    Safety & Cautions

    Side Effects

    • Gastrointestinal discomfort (cramping, diarrhea)
    • Nausea, especially at higher doses
    • Potential interactions with medications metabolized by the liver
    • Possible lowering of blood sugar to uncomfortable levels when combined with other glucose-lowering agents
    Berberine is generally well-tolerated at standard doses when taken with food, but its potent glucose-lowering effects mean it should be used cautiously alongside diabetes medications or other blood-sugar-lowering supplements. Consulting a healthcare provider before starting berberine is strongly recommended, particularly for those on prescription medications.
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