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Similarly, in SURMOUNT-4 (tirzepatide), participants completed a 36-week open-label lead-in to 10 or 15 mg, after which they were randomized to continue tirzepatide or switch abruptly to placebo

Meta-analyses of berberine trials show modest reductions in hemoglobin A1c (approximately 0.5-0.7%) and fasting glucose, with variable effects on body weight, though many studies have methodological limitations and high heterogeneity