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You should: Check your blood glucose levels more frequently when initiating berberine, especially if you use insulin or sulfonylureas Recognise hypoglycaemia symptoms (trembling, sweating, confusion, rapid heartbeat, dizziness) and know how to respond appropriately Keep fast-acting carbohydrates available (glucose tablets, fruit juice) to treat low blood sugar promptly Contact your GP or diabetes nurse if you experience recurrent hypoglycaemia, as medication adjustments may be necessary Gastrointestinal symptom monitoring is equally important

After an application by plaintiffs to organize the case in a Multidistrict Litigation (MDL), the two largest defendants, Novo Nordisk and Eli Lilly, are split on their response to the application

Your prescriber and surgeon must agree on a clear restart protocol before surgery
