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For constipation-related bloating, which is common with these medications, polyethylene glycol (Miralax) or stool softeners may be helpful if not contraindicated for the individual patient

doi: 10.1002/cbf.3479 47 RiegerLOConnorR

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Consult your healthcare practitioner before taking this product as Berberine may reduce the effectiveness of certain drugs especially those with narrow therapeutic margins

von Holzen U, Pataer A, Raju U, Bocangel D, Vorburger SA, Liu Y, Lu X, Roth JA, Aggarwal BB, Barber GN, Keyomarsi K, Hunt KK, Swisher SG

However, GLP-1 agonists were not associated with an increased risk for biliary disease (HR = 1.5