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In this week’s episode, Dr. Mary and Dr. Lucy continue their exploration into the world of supplements. The spotlight is on the fascinating compound Berberine—a natural supplement that’s gaining widespread attention for its potential to improve insulin resistance, support cholesterol management, and enhance overall metabolic health. Listeners will gain a deeper understanding of how Berberine works, its science-backed benefits, and practical tips for incorporating it into a health-focused lifestyle. Berberine Overview ✨ Origin: A bioactive compound extracted from various plants, particularly the barberry plant, used in traditional Chinese and Ayurvedic medicine for centuries. ✨ Mechanism of Action: Activates the AMPK pathway, a critical regulator of cellular energy metabolism, improving how the body processes and utilises energy. ✨ Modern Interest: Recently studied for its effects on metabolic health, including insulin resistance, type 2 diabetes, obesity, and cardiovascular health. Key Benefits ✨ Improved Insulin Sensitivity: 📍Enhances glucose uptake into cells and improves insulin signalling. 📍Similar to the effects of metformin. 📍Supports better blood sugar control and energy utilisation. ✨ Anti-Inflammatory Effects: 📍Reduces inflammation by inhibiting inflammatory pathways and cytokines. 📍Breaks the cycle of insulin resistance and inflammation. ✨ Cholesterol Management: 📍Lowers LDL cholesterol by inhibiting PCSK9 enzymes. 📍Promotes better cholesterol recycling and utilisation. ✨ Gut Microbiome Health: 📍Encourages growth of beneficial gut bacteria, similar to metformin. 📍Influences metabolic health positively via gut microbiome changes. ✨ Liver and Muscle Benefits: 📍Helps the liver process glucose more effectively. 📍Improves glucose utilisation in muscle cells. ✨ Polycystic Ovarian Syndrome (PCOS): 📍Improves ovulation by enhancing insulin sensitivity in ovaries. 📍Potentially aids fertility when combined with other ovulation-inducing medications. Safety and Considerations ✨ Side Effects: 📍Common issues: Diarrhea, constipation, and stomach cramps. 📍Shares similar gastrointestinal effects with metformin. ✨Interactions with Medications: 📍Metabolised via the CYP450 liver enzyme system. 📍Potential interactions with other medications processed by the same pathway. 📍Caution for those on glucose-lowering drugs due to potential low blood sugar risks. ✨ Pregnancy and Breastfeeding: 📍Lack of safety data for use during pregnancy or breastfeeding. 📍Should not be used due to potential risks to the fetus or baby. ✨ Illness and Stopping Use: 📍Like metformin, berberine might need to be stopped temporarily during significant illness to avoid complications like acidosis. ✨Product Quality: 📍Supplements vary widely in quality. 📍Avoid products with additives like maltodextrin, sunflower oil, or high alcohol content. 📍Choose supplements with minimal, clean ingredients. ✨ General Recommendations 📍Treat berberine like a medication: targeted, monitored, and with medical supervision. 📍Take it with food for the best absorption. 📍Not a standalone solution: Combine with lifestyle changes for best results. 📍Avoid excessive or unmonitored use to prevent potential risks. ✨ Final Verdict 💃 Cautious Yay: Promising benefits backed by solid evidence for improving insulin resistance and metabolic health. 💃 Supervision Advised: Should be used thoughtfully, particularly if combined with other medications or for specific conditions like PCOS or diabetes.

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