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While medication-supported weight loss can increase confidence in some, in others, the sudden alteration can worsen symptoms of body dysmorphic disorder, resulting in increased anxiety, depression, and suicidal ideation, Guirguis said in an email

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"Berberine may help reduce body weight modestly (about two to four pounds over several weeks) and lower HbA1c levels, but it lacks the robust, consistent results seen with GLP-1 medications like Ozempic, which can produce 15 to 20 percent body weight reductions in clinical trials." Diana Mesa, RDN, LDN, CDCES, founder of En La Mesa Nutrition, agrees, adding that "Berberine does have some similarities [to GLP-1 RA medications] in that it can trigger the pancreas to release insulin and helps make cells more sensitive to the effect of insulin, which is a characteristic similar to what Metformin [another prescription medication prescribed to treat type 2 diabetes and other off-label conditions] does." Still, she notes that it's unclear whether or not Berberine has any appetite-suppressing effects like Ozempic and similar medications
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As far back as 1957 studies have shown that obesity can increase the risk of secondary lymphedema (9, 10)
