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Fermented foods can support a more diverse gut microbiome, which may benefit digestion, immunity, and overall health

Gut side effects are the main event: gastrointestinal adverse events affected 47% to 84% of people on the drug versus 13% to 63% on placebo , while serious events stayed rare (Moiz and colleagues, systematic review, Annals of Internal Medicine , 2025)

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Plant isoquinoline alkaloids: Advances in the chemistry and biology of berberine

Elif Ekinci

Treatment: Try to absorb some of it in your cheeks (buccal absorption) because this will help you more quickly than absorbing it in your intestines