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Berberine can interact with diabetes medications, GLP-1s, metformin, blood thinners, and drugs metabolized by the liver

If you experience any of these, seek medical help immediately: Pancreatitis Description : Inflammation of the pancreas causing severe stomach pain that can spread to the back, nausea, and vomiting

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6.3 Vitamin B12 Deficiency Vitamin B12 deficiency represents a critical confounding factor in the diagnosis of DPN, as neuropathy itself is fundamentally a diagnosis of exclusion requiring the elimination of other potential etiologies [157]

It never predicts your response to a specific medication