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Mitochondrial

Berberine

Also known as: Berberine HCl

Evidence grade: ModerateHow grades work

Often called "natural metformin". Activates AMPK, improves insulin sensitivity, and has demonstrated cardiovascular benefits in multiple RCTs.

Mechanism of Action

AMPK activator → mimics caloric restriction signalling. Modulates gut microbiome. Inhibits PTP1B (insulin sensitisation).

Doses and timing reported in studies

Context, not a recommendation. Study links for this card are still being added, so check the original trials and talk to your doctor before you take anything, especially with medicines or health conditions.

Range used in trials

500mg 2–3x/day with meals

Timing used in trials

With meals (GI tolerance)

Stacks Well With

Caution

May interact with: metformin, blood-sugar-medications

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Evidence grade

Moderate

Goals

LongevityCardiovascularEnergy

Rubric

How evidence grades work

A grade summarises the strength of the human evidence for a compound or device category. It is not a score, it is not a rating of any brand, and it changes when new studies land.

Strong
Several randomised controlled trials or meta-analyses in people agree on direction, the effect is large enough to matter for the stated outcome, and safety is established over long use.
Moderate
Some human trials, but small, short, or mixed. Plausible benefit, with limited long-term safety data.
Emerging
Mostly animal or mechanism studies, or very small human studies. Interesting, not yet enough to act on.
Weak
Little or contradictory evidence, no benefit shown, or a safety concern outweighs the evidence.