Effect begins within the first week of treatment and strengthens over the dose escalation period
Most patients notice fasting glucose improvements within 24 weeks of consistent dosing, with HbA1c reductions appearing after 812 weeks
People who take both medications should take special care to stay hydrated, eat slowly, and avoid large meals
Also, tell your doctor if you have diabetes, this medicine may increase blood glucose levels which can cause or worsen diabetes
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Second, the glucose-lowering effect of berberine is most useful post-meal, when blood glucose is rising, which is also when the risk of hypoglycemia from berberine is lowest