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According to FDA guidance, compounded medications are prepared by licensed pharmacies based on individual prescriptions using FDA-approved active ingredients, but the finished compounded products themselves are not FDA-approved and have not undergone the same regulatory review for safety, effectiveness, and quality that approved drugs receive
Therefore, both metformin and berberine cause gastrointestinal side effects
Beyond dose changes, dietary modifications can help
This could include high blood pressure, type 2 diabetes or high cholesterol