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8 Ways Berberine Can Support Weight Loss and Metabolic Health Naturally

Key Takeaways

  • Berberine is a versatile supplement with benefits for blood sugar regulation, heart health, liver function, and weight management.
  • Some studies suggest that doses of around 500 mg, administered two to three times daily, were effective for specific conditions.
  • Always consult your healthcare provider before using supplements, especially if you’re taking prescription medications.

Berberine, a compound found in herbs like barberry and goldenseal, has gained popularity for its potential to support weight, blood sugar, and heart health naturally. Initial research appears promising, but additional studies are needed to confirm the benefits.

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1. May Support Weight Loss

  • A 2020 review found that berberine supplements may moderately decrease weight, body mass index (BMI), waist size, and inflammation markers.
  • Some call it “nature’s Ozempic,” though it works differently from prescription medications.
  • The NCCIH notes that while berberine may offer small weight loss benefits, current studies are limited and more high-quality research is needed.
  • Lifestyle changes, including diet and exercise, are essential for achieving real results.

2. Can Help Control Blood Sugar

  • Research involving over 3,000 people shows that berberine lowered fasting blood sugar and hemoglobin A1c without causing low blood sugar (hypoglycemia).
  • It may improve insulin sensitivity, but absorption can vary, and some forms of berberine may actually have higher toxicity.

3. Has Cholesterol-Lowering Effects

  • Studies show berberine reduced low-density lipoprotein (LDL, or “bad”) cholesterol by 25%, triglycerides by 35%, and total cholesterol by 29%.
  • It may be a valuable add-on for those who cannot tolerate statins, though not a replacement.

4. May Help Improve Polycystic Ovary Syndrome (PCOS)

  • Berberine may help manage insulin resistance associated with PCOS, thereby improving blood sugar control and ovulation rates.
  • Early studies are promising, but further research is needed to provide conclusive evidence of its effectiveness.

5. Helps Lower Blood Pressure

  • Berberine helped reduce systolic blood pressure (the top number).
  • It was somewhat more effective when combined with lifestyle changes or blood pressure medications.
  • Conversely, some studies suggest limited evidence to support the use of berberine in controlling blood pressure.
  • Effective doses in studies ranged from 0.9 to 1.2 grams per day.

6. May Improve Gut Health

  • Berberine may positively influence your gut microbiota, supporting immune function and metabolism.
  • Effects vary by dose, and research continues on how it interacts with gut bacteria.

7. Can Support Liver Health

  • Berberine may protect the liver and support metabolic function, as well as cholesterol and insulin sensitivity.
  • Shows promise as an add-on therapy for fatty liver disease (MASLD/NAFLD).

8. May Have Anticancer Effects

  • Lab studies suggest berberine may inhibit cancer cell growth, reduce inflammation, and support conventional cancer treatments.
  • Research is ongoing, particularly in the areas of improving absorption and combining it with other therapies.

How to Take Berberine Safely

  • Typical dose: 500 mg, 2–3 times per day.
  • Take before meals for blood sugar support.
  • Avoid combining with specific medications—consult a healthcare professional.
  • Do not take more than directed.

Is Berberine Safe for Me?

  • Mild digestive issues: bloating, constipation, or diarrhea.
  • Potential interactions: diabetes or blood pressure medications, cyclosporine (an immunosuppressant).
  • Pregnant or breastfeeding: avoid berberine unless approved by a healthcare provider.
  • Berberine is not a substitute for the treatment prescribed by your healthcare provider.
  • In some cases, if your healthcare provider approves, berberine may be used in conjunction with other treatments and lifestyle changes.
  • However, it should never replace your recommended treatment plan.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. National Center for Complementary and Integrative Health. Berberine and weight loss: what you need to know.

  3. Ohio State University. Does berberine really help with weight loss?

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  17. Koperska A, Wesołek A, Moszak M, Szulińska M. Berberine in non-alcoholic fatty liver disease—a review. Nutrients. 2022;14(17):3459. doi:10.3390/nu14173459

  18. Nie Q, Li M, Huang C, et al. The clinical efficacy and safety of berberine in the treatment of non-alcoholic fatty liver disease: a meta-analysis and systematic review. J Transl Med. 2024;22:225. doi:10.1186/s12967-024-05011-2

  19. Almatroodi SA, Alsahli MA, Rahmani AH. Berberine: an important emphasis on its anticancer effects through modulation of various cell signaling pathwaysMolecules. 2022;27(18):5889. doi:10.3390/molecules27185889

  20. Memorial Sloan Kettering Cancer Center. Berberine.

By Karen Berger, PharmD

Karen Berger, PharmD, is a community pharmacist and medical writer/reviewer.


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