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Metabolic

Berberin · Berberin

Plant-derived AMPK activator; near-drug-strength effects on blood sugar and lipids.

A
Bevisning grade
Replicated human RCTs with hard endpoints

Short answer

Berberin (Berberin) is a metabolic with evidence grade A, meaning it is well-supported by replicated human trials. We track 12 produkter containing Berberin. Typical doses range from 100.0 to 1500 mg per portion. The top-ranked product scores 9.4 out of 10 on our composite scale (dose, evidence, price, testing, transparency). Prices range up to $49.99 per månad.

Bevisning grade: A Produkter in database: 12 Kategori: Metabolic

Top Berberin produkter

ProductVarumärkeDosePris/mo3rd-party testedPoäng
Pure Berberin1500 mg$30.00Yes9.4
Berbelean | Enhanced Berberin (Berberin Phytosome + Black Ginger, Saffron, CurCousin, Piperine)550.0 mg$49.99Yes7.3
Berberin HCl 500 mg500 mg$25.00Yes7.3
Berberin Supplement500.0 mg$19.95Yes7.0
Berberin510.0 mg$24.75Yes6.8

Scores are editorial judgments, not a scientific standard. Se how we score.

What it is

An alkaloid from goldenseal, barberry, and Oregon grape. It activates a cellular energy sensor (AMPK) that also gets triggered by exercise, calorie restriction, and metformin.

Why people take it

Blood-sugar lowering effect is close to metformin in some head-to-head trials. LDL and triglyceride reductions are real and reproducible. This is one of the few supplements taken seriously in clinical guidelines.

Our verdict

The most drug-like supplement in the longevity space, for better and worse. Take with food, split doses, and don't combine with prescription diabetes meds without a doctor.

Structure & class

Isoquinoline alkaloid. Activates AMPK, inhibits mitochondrial complex I, modulates gut microbiota.

Mechanism & clinical data

Meta-analyses (Yin 2008, Dong 2013) show HbA1c reductions of 0.7 to 1.0% at 900 to 1500 mg/day, comparable to metformin. LDL reduced ~25 mg/dL. Being investigated as caloric restriction mimetic.

Pharmacokinetics

~5 hours; bioavailability ~5%.

Dose & forms

Trial dose
1500 mg
/ day
Range in trials
900 to 1500 mg
/ day
Common forms
Powder capsule, Berberin HCl, Dihydroberberine (2× absorption)

What to watch out for

Standard berberine has ~5% oral bioavailability. Dihydroberberine and berberine phytosomes absorb better. Split doses across meals (500 mg × 3) to avoid GI upset.

Säkerhet limits and interactions

When a product exceeds the UL or contains an ingredient with clinically significant interactions, a "Review advised" flag appears on its product page and links here.

Known drug interactions
Inhibits CYP3A4, CYP2D6, and CYP2C9. Documented interactions with cyclosporine, tacrolimus, statins (increased myopathy risk), DOACs (increased bleeding risk), dextromethorphan, losartan, midazolam, metformin, other antidiabetic drugs (hypoglycemia risk), antihypertensives (hypotension risk), and anticoagulants/antiplatelets (bleeding risk).
Säkerhet note
No formal UL established; generally regarded as safe up to ~1.5 g/day for up to 6 months, but is a significant inhibitor of multiple CYP enzymes even at moderate doses (as low as 300 mg/day).

Source: https://www.webmd.com/vitamins/ai/ingredientmono-1126/berberine

Where this dose comes from

The trial dose above is our editorial pick from the published human trials for this ingredient. We choose the dose that the best-available studies used on the endpoint most relevant to longevity. The range shows the lowest and highest doses tested in published trials. The landmark studies below are the papers we read to set it. You can click through and check our work.

When new trials publish, our automated sweeps flag them. If a new study materially changes the dose, we update it through editorial review and record the old dose, new dose, and the triggering study in every affected product's recommendation history. The dose is never changed automatically.

Regelverk status

EURestricted in Italy (drug status ≥10 mg); food supplement elsewhere
USDietary supplement
UKFood supplement
CANHP

Timeline

Regelverk events, evidence grade changes, and key research milestones for Berberin, most recent first. Every entry links to its primär source.

  • 2025-08 Regelverk single source
    Italy restricts berberine as drug at doses >=10 mg
    Italy classified berberine as a drug at doses of 10 mg or higher, restricting its sale as a food supplement. Other EU markets still allow berberine as a food supplement. The restriction creates a fragmented regulatory landscape within the EU.
  • 2025-04 Regelverk single source
    EU Court sharpens the bar for botanical health claims
    A Court of Justice of the European Union ruling in april 2025 further tightened the requirements for how botanical ingredients (herbs, plant extracts) can be marketed with health claims in the EU, effectively removing much of the flexibility of the on-hold list.
  • 2024-06 Regelverk confirmed
    EU report identifies 117 supplement substances as potential health risks
    The HoA Working Group on Food Supplements (26 European countries) published its first report evaluating 117 substances used in food supplements. Of these, 65 were assessed as likely novel foods, 6 were already regulated, 34 had insufficient data, and 12 were prioritized for Article 8 restriction under Regulation (EC) No 1925/2006. The 12 priority substances include ashwagandha, curcumin, melatonin, piperine, St. John's wort, coumarin, p-synephrine, maca, holy basil, Melaleuca, black cohosh, and L-tryptophan. The report drew on 1,500 RASFF alerts reviewed between 2017 and mid-2022.
  • 2008 Research milestone
    Yin et al. 2008 (Metabolism)
    500 mg × 3/day for 3 months matched metformin for HbA1c reduction in type 2 diabetes.
  • 2006-12 Regelverk confirmed
    EU Health Claims Regulation adopted
    Regulation (EC) No 1924/2006 laid down harmonised rules for nutrition and health claims made on foods, including supplements. Only claims listed in the EU Register of authorised claims can be used. Rejected botanical claims are held in a separate on-hold list.
  • 1997 Regelverk confirmed
    EU introduces the Novel Food Regulation
    Regulation (EC) No 258/97 required any food or food ingredient without a history of consumption in the EU before 15 maj 1997 to be authorised before being placed on the market. This is the framework that captures NMN, spermidine as a supplement ingredient, urolithin A, and many other longevity actives.
Tolerability data

Reported adverse events

Consumer reports submitted to an official government adverse-event database. These reports mention this ingredient but do not prove it caused the reaction. Report volume reflects market penetration as much as inherent risk.

68
total reports
Moderate report volume
Vomiting
14
Malaise
9
Nausea
8
Diarrhoea
8
Hypersensitivity
8
Asthenia
7
Dehydration
7
Pruritus
6
Data source

Retrieved from the FDA Adverse Event Reporting System (CAERS) via the openFDA API. Verified 2026-08-06. Reports are voluntary consumer submissions and mandatory serious-event filings. They establish surveillance, not causality.

2026 evidence refresh

Berberin is a plant alkaloid that activates AMPK and lowers blood glucose and lipids about as well as some prescription diabetes drugs.

Verified 2026-06-20. We update this section as new peer-reviewed trials land.

Human RCT base
50+
peer-reviewed randomised trials
Largest single trial
n = 4150
Berberin alone significantly reduced fasting plasma glucose by 0.59 mmol/L and 2-hour postprandial glucose by 1.57 mmol/L; combined with standard diabetes drugs, it cut HbA1c by an additional 0.69 percentage points. source

Best-supported claim

Berberin's strongest evidence is for glycemic control in type 2 diabetes. Jing Wang and colleagues' 2024 metaanalys of 50 trials and 4,150 participants found berberine monotherapy significantly lowered fasting glucose, postprandial glucose, and lipid markers, and that adding berberine to standard hypoglycemic drugs produced further HbA1c reductions of 0.69 percentage points (https://pmc.ncbi.nlm.nih.gov/articles/PMC11617981/). Multiple head-to-head trials, including an early pilot by jun Yin and colleagues, found berberine's glucose-lowering effect statistically similar to metformin over 12 to 13 weeks, with HbA1c dropping from roughly 9.5% to 7.5% (https://pmc.ncbi.nlm.nih.gov/articles/PMC2410097/). A separate 2021 metaanalys of 13 trials and 1,173 participants found berberine alone was not statistically superior to metformin, but berberine plus metformin outperformed metformin alone on fasting glucose, postprandial glucose, HbA1c, and insulin resistance, with no increase in adverse events (https://www.scirp.org/journal/paperinformation?paperid=113351).

Not supported by the evidence base

Marketing often calls berberine 'nature's Ozempic' or claims it matches metformin outright. The actual evidence is more nuanced: a 2021 metaanalys found berberine monotherapy was not statistically superior to metformin, only comparable in some trials, and most head-to-head comparisons come from small or moderate-quality Chinese trials, not large multi-center studies (https://www.scirp.org/journal/paperinformation?paperid=113351). For weight loss, the picture is real but modest, not dramatic: a 2025 metaanalys of 23 trials found berberine reduced body weight by only 0.88 kg and BMI by 0.48 kg/m2, figures far smaller than GLP-1 drug results despite frequent comparisons to them (https://pubmed.ncbi.nlm.nih.gov/41310257/). Berberin's oral bioavailability is under 1%, with roughly 56% of an oral dose never absorbed at all, so gut bacteria composition strongly influences how much reaches the bloodstream and effects vary between individuals.

Typical dose

500 mg three times daily with meals (total 1000-1500 mg/day), the dose used in nearly all glycemic and lipid trials

Säkerhet

Berberin causes gastrointestinal side effects in a meaningful minority of users: one trial reported transient GI adverse effects (diarrhea, constipation, abdominal pain) in 34.5% of participants. Meta-analyses consistently report no significant difference in serious adverse events between berberine and placebo or metformin. When combined with metformin or other glucose-lowering drugs, the combined hypoglycemic effect raises the risk of low blood sugar, particularly in people also restricting carbohydrates. Oral bioavailability is extremely low (under 1%), and gut bacteria composition and activity strongly influence individual absorption and response.

Interactions worth flagging

  • metformin and other diabetes medications
  • statins
  • CYP2D6/CYP3A4-metabolized drugs with narrow therapeutic windows
  • blood thinners

Three recent studies to know

  • Effects of administering berberine alone or in combination on type 2 diabetes mellitus: a systematisk översikt and metaanalys
    Frontiers in Pharmacology 2024 · n =

    Läs studie →
  • The effect of berberine on obesity indices: a systematisk översikt and metaanalys
    International Tidskrift of Obesity 2025 · n =

    Läs studie →
  • Efficacy and safety of berberine on the components of metabolic syndrome: a systematisk översikt and metaanalys of randomized placebokontrollerad trials
    Frontiers in Pharmacology 2025 · n =

    Läs studie →

Landmark studies

  • Yin et al. 2008 (Metabolism)

    500 mg × 3/day for 3 months matched metformin for HbA1c reduction in type 2 diabetes.

    Läs studie →

Found in these produkter (12)

Alla produkter in our catalog that contain Berberin, ranked by our overall score. Ranking is editorial, never paid.

DoNotAge
Pure Berberin
9.4
Metabolic
100%
Överensstämmer med studier
$1.00
per dag
Lab-testatPublic analysintyg
Pris kontrollerat aug 2026 · donotage.com
Nootropics Depot
Berbelean | Enhanced Berberin (Berberin Phytosome + Black Ginger, Saffron, CurCousin, Piperine)
7.3
Metabolic
37%
Överensstämmer med studier
$2.27
per dag
Lab-testatPublic analysintyg
Pris kontrollerat aug 2026 · nootropicsdepot.com
Nootropics Depot
Berberin HCl 500 mg
7.3
Metabolic
33%
Överensstämmer med studier
$1.25
per dag
Lab-testatPublic analysintyg
Pris kontrollerat aug 2026 · nootropicsdepot.com
Double Wood Supplements
Berberin Supplement
7.0
Metabolic
33%
Överensstämmer med studier
$1.00
per dag
Lab-testatPublic analysintyg
Pris kontrollerat aug 2026 · doublewoodsupplements.com
Life Extension
Berberin
6.8
Metabolic
34%
Överensstämmer med studier
$1.21
per dag
Lab-testat
Pris kontrollerat aug 2026 · lifeextension.com
ProHealth Longevity
Berberin Pro - 600 mg (1,200mg/day), 60 capsules
6.7
Metabolic
40%
Överensstämmer med studier
$0.87
per dag
Lab-testatPublic analysintyg
Pris kontrollerat aug 2026 · prohealthlongevity.com
BulkSupplements
Berberin HCl Powder
6.5
Metabolic
33%
Överensstämmer med studier
$0.72
per dag
Pris kontrollerat aug 2026 · bulksupplements.com
Thorne HealthTech
Berberine-500
6.4
Metabolic
33%
Överensstämmer med studier
$4.40
per dag
Lab-testat
Pris kontrollerat aug 2026 · thornehealthtech.com
Double Wood Supplements
Dihydroberberine Supplement (GlucoVantage)
5.8
Metabolic
7%
Överensstämmer med studier
$5.74
per dag
Lab-testatPublic analysintyg
Pris kontrollerat aug 2026 · doublewoodsupplements.com
Pure Encapsulations
Berberin UltraSorb
5.7
Metabolic
37%
Överensstämmer med studier
$4.68
per dag
Pris kontrollerat aug 2026 · pureencapsulations.com
Renue By Science
Berberin (Liposomal)
5.6
Metabolic
17%
Överensstämmer med studier
$3.33
per dag
Lab-testat
Pris kontrollerat aug 2026 · renuebyscience.com
Renue By Science
Lipo Berberin
5.6
Metabolic
17%
Överensstämmer med studier
$3.33
per dag
Lab-testat
Pris kontrollerat aug 2026 · renuebyscience.com
Redaktionellt guides

Buying guides and comparisons

Neighbouring molecules

Related ingredients

Se alla in Metabolic →

Molekyler in the same class, plus the actives most often formulated alongside Berberin in our catalogue.

Alpha-Lipoic AcidAsame categoryPterocarpus (Kino)Dsame categoryCa-AKGDsame categoryC15:0Dsame categorySaffronBstacked together in 1 product

Frequently asked questions

What is Berberin?

An alkaloid from goldenseal, barberry, and Oregon grape. It activates a cellular energy sensor (AMPK) that also gets triggered by exercise, calorie restriction, and metformin.

What dose of Berberin should I take?

The trial dose in published human studies is 1500 mg per dag, with a range of 900 to 1500 mg per dag. Always consult a qualified clinician before starting any supplement.

Is Berberin safe?

Standard berberine has ~5% oral bioavailability. Dihydroberberine and berberine phytosomes absorb better. Split doses across meals (500 mg × 3) to avoid GI upset.

What is the best Berberin supplement?

We track 12 produkter containing Berberin. The top-ranked product scores 9.4 out of 10 on our composite scale, which evaluates dose, evidence, price, third-party testing, and transparency. See the comparison table above. Scores are editorial judgments, not a scientific standard.

What is the evidence grade for Berberin?

Berberin has evidence grade A, meaning it is well-supported by replicated human trials. Grade A means replicated human RCTs with hard endpoints. Grade B means human RCTs with biomarker outcomes. Grade C means mixed or small human trials. See our evidence grading methodology.

Independently checked

Data verification

Bevisning grade
A
Replicated human RCTs with hard endpoints
Research dose
1500 mg
Verified n/a
Produkter tracked
12
Uppdaterad continuously
Säkerhet signal
Standard berberine has ~5% oral bioavailability. Dihydrob...
Verified n/a

Bevisning grades are reviewed when new human RCTs are published. Product counts update automatically as new produkter are added. Dose ranges reflect published trial data, not brand recommendations. Read how we verify.