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Risk of hypoglycemia Theres a risk of low blood sugar (hypoglycemia) when using GLP-1 agonists
The reason gut flora convert berberine into DHB is because, unlike berberine, DHB can pass through intestinal tissue, which enables it to reach the bloodstream

Stay at the current dose until GI symptoms have resolved for at least two full weeks
When A1C is $9% (75 mmol/mol), consider initiating dual combination therapy (Fig

N Engl J Med 2016;375:31122.ArticlePubMedPMC 46

Curr Neuropharmacol
