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Signs and symptoms of low blood sugar may include dizziness or light-headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jittery dehydration leading to kidney problems

Although early pregnancy registries have not identified a stable teratogenic pattern, current guidelines recommend strict precautionary washout periods (4448), current guidelines typically adopt a defensive posture, recommending strict washout periods prior to planned conception (17, 43)

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A 2020 meta-analysis in Clinical Nutrition ESPEN (Asbaghi et al.) pooled 12 randomized controlled trials and found that oral berberine reduced body weight by 2.07 kg and BMI by 0.47 kg/m2 versus control