Treatment FAQ

berberine pcos treatment science how to use

by Dr. Warren VonRueden I Published 3 years ago Updated 2 years ago
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The standard dose of berberine is 900-2,000mg a day, divided into three to four doses. Berberine should be taken with a meal, or shortly after, to take advantage of the blood glucose and lipid spike associated with eating. Too much berberine at once can result in stomach upset, cramping, and diarrhea.

Full Answer

What are the best 10 herbs for PCOS?

These include:

  • Ashwagandha. Ashwagandha is an herb that’s also called Indian ginseng or winter cherry. ...
  • Cinnamon. Cinnamon, harvested from the bark of the cinnamon tree, is more than just a spice used in baked goods: According to a small 2007 study, it can positively affect ...
  • Turmeric. Turmeric gets its yellow color from its active ingredient, curcumin. ...

What diet is best for someone with PCOS?

The Best Foods for PCOS Include:

  • Grass-fed meat and pasture-raised poultry
  • Cold Water Fish
  • Healthy fats
  • Fruits
  • Vegetables
  • Seeds and nuts

Is the ketogenic diet good for PCOS?

The best fiber sources for keto PCOS diets include:

  • Avocado
  • Cauliflower
  • Broccoli
  • Brussels sprouts
  • Asparagus
  • Bell peppers
  • Chia seeds
  • Flax seeds
  • Dark, leafy greens (like kale, arugula and spinach)

What are the different treatment options for PCOS?

Treatment. PCOS treatment focuses on managing your individual concerns, such as infertility, hirsutism, acne or obesity. Specific treatment might involve lifestyle changes or medication. Lifestyle changes. Your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities.

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How do you use berberine for PCOS?

Berberine is typically taken in daily doses up to 1,500 mg, divided into 3 servings. Speak with your healthcare provider before trying berberine to help manage your PCOS symptoms.

How do you take berberine?

It is common to take 500 mg, 3 times per day, before meals (a total of 1500 mg per day). Berberine has a half-life of several hours, so it is necessary to spread your dosage to several times per day to achieve stable blood levels.

How long should I take berberine?

When taken by mouth: Berberine is possibly safe for most adults. It's been used safely in doses up to 1.5 grams daily for 6 months.

Can you take berberine on an empty stomach?

The recommended dosage of berberine is 500 mg three times a day. It should be taken half an hour before meals. It does not cause severe side effects, so taking it on an empty stomach should be ok. But be careful, as it can cause some stomach problems.

How is berberine best absorbed?

The bioavailability of berberine is extremely low. Only 0.5% of orally ingested berberine are absorbed in small intestine and about 0.36% can enter the systemic circulation. About 56% of ingested berberine was not absorbed and additional 43.5% is lost due to metabolism in small intestine.

Does berberine make you sleepy?

Berberine might cause sleepiness and drowsiness. Medications that cause sleepiness are called sedatives. Taking berberine along with sedative medications might cause too much sleepiness.

Do doctors recommend berberine?

Many studies of berberine have indicated that it can treat several metabolic health conditions, including diabetes, obesity, and heart problems. It may also improve gut health. Although berberine appears to be safe and cause few side effects, a person should speak with a doctor before taking it.

Can berberine damage the liver?

Sub-chronic toxicity of berberine has reported to damages lung and liver by increasing alanine aminotransferase (ALT) and aspartate aminotransferase (AST), significantly (Ning et al., 2015).

Are there any side effects to berberine?

Metformin is used with an appropriate diet and exercise program and possibly with other medicines to control high blood sugar levels. It is used for type 2 diabetic patients. Some of the common and major side effects of Berberine are: Diarrhea.

How do you lose weight with berberine?

Two studies have shown that taking a berberine supplement over the course of three months results in significant weight loss. This may be due to how berberine helps control insulin and other hormones that regulate your fat cells.

Is berberine water soluble?

It occurs as a yellowish crystalline powder that is odorless, or has a faint characteristic odor, with a bitter taste. It is sparingly soluble in methanol, slightly soluble in ethanol, and very slightly soluble in water; however, the salt forms are relatively more soluble and contribute to the tissue coloring (2).

Is berberine better than metformin?

In the regulation of lipid metabolism, berberine activity is better than metformin. By week 13, triglycerides and total cholesterol in the berberine group had decreased and were significantly lower than in the metformin group (P<0.05).

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What is the plant that contains berberine?

Berberine is also found in several plants that belong to the Berberis genus. B. vulgaris — commonly known as barberry — is often used in Chinese Medicine to treat issues related to the heart, liver, and digestive tract ( 5 ).

Where does berberine come from?

Berberine is an herbal supplement made from a chemical compound that naturally occurs in the roots and bark of a wide variety of plants.

How many people with PCOs are insulin resistant?

It’s estimated that up to 75% of people with PCOS are insulin resistant ( 9 ).

How does PCOs manifest?

PCOS can manifest in many ways, but common symptoms include irregular periods, infertility, abnormal facial and body hair growth, and the development of small ovarian cysts ( 1 ).

How many women with PCOs have type 2 diabetes?

According to the Centers for Disease Control and Prevention (CDC), more than 50% of women with PCOS develop type 2 diabetes by the time they reach age 40 ( 10. Trusted Source.

What causes PCOs?

Certain features, such as excess insulin, increased levels of male hormones, and chronic low grade inflammation, are characteristic of PCOS and often the primary targets for symptom management ( 3.

What is the prevalence of polycystic ovary syndrome?

Polycystic ovary syndrome (PCOS) is a common hormonal disorder that’s estimated to affect approximately 3–10% of reproductive-aged women worldwide ( 1. Trusted Source. ). PCOS also affects transgender people, although there’s a lack of data regarding the exact prevalence of PCOS among those in the trans community.

Is Berberine an insulin sensitivity?

Objective: Previous studies have indicated that berberine is an effective insulin sensitizer with comparable activity to metformin (Diabetes 2006, 55, 2256). Reduced insulin sensitivity is reportedly a factor adversely affecting the outcome of IVF in patients with polycystic ovary syndrome (PCOS) (Human Reproduction 2006, 21, 1416). Our objective was to evaluate the clinical, metabolic and endocrine effects of berberine vs metformin in PCOS women scheduled for IVF treatment and to explore the potential benefits to the IVF process.

Does Berberine affect HOMA?

Results: Compared with placebo, greater reductions in total testosterone, free androgen index, fasting glucose, fasting insulin and HOMA-IR, and increases in SHBG, were observed in the berberine and metformin groups. Three months of treatment with berberine or metformin before the IVF cycle increased the pregnancy rate and reduced the incidence of severe ovarian hyperstimulation syndrome. Furthermore, treatment with berberine, in comparison with metformin, was associated with decreases in BMI, lipid parameters and total FSH requirement, and an increase in live birth rate with fewer gastrointestinal adverse events.

Does berberine affect ovarian hyperstimulation?

Three months of treatment with berberine or metformin before the IVF cycle increased the pregnancy rate and reduced the incidence of severe ovarian hyperstimulation syndrome. Furthermore, treatment with berberine, in comparison with metformin, was associated with decreases in BMI, lipid parameters and total FSH requirement, ...

Does Berberine help with IVF?

Conclusions: Berberine and metformin treatments prior to IVF improved the pregnancy outcome by normalizing the clinical, endocrine and metabolic parameters in PCOS women. Berberine has a more pronounced therapeutic effect and achieved more live births with fewer side effects than metformin.

How does Berberine work?

It works in multiple ways in the body and is able to make changes within the body’s cells. Studies suggest that berberine has a “harmonious distribution” into several targets in the body, which allows it to fight certain conditions while causing minimal side effects.

What is berberine found in?

Berberine is a compound in several plants, including goldenseal, barberry, Oregon grape, and tree turmeric.

Does Berberine help with diabetes?

Research has shown that berberine may work as a diabetes treatment . Studies have found that it can have positive effects on blood sugar, triglycerides, and insulin. One meta-analysis indicated that berberine was better than a placebo at lowering blood sugar.

Can you take Berberine with diabetes?

Speak with a doctor before taking berberine for diabetes. It may not be right for everyone and could interact with other medications.

Does Berberine lower blood glucose?

Another meta-analysis found that berberine combined with lifestyle changes worked better to lower blood glucose than lifestyle changes alone.

Is Berberine safe for diabetics?

Although berberine appears to be safe and to cause few side effects, a person should speak with a doctor before taking it.

Does Berberine kill cancer cells?

Another study states that berberine helps treat cancer by interfering with its progression and its typical life cycle. It may also play a role in killing cancer cells. Based on this evidence, the authors state, berberine is “highly expected to be effective, safe, and affordable” as a cancer fighting agent.

What is the best treatment for PCOs?

The clinical treatment of PCOS is often a long-term therapy , and the most commonly used drugs are combined oral contraceptives (COCs), antiandrogenic progestins, and insulin-sensitizing drugs. Anyway, these drugs could treat the respective single sign of PCOS [5].

What percentage of women have polycystic ovary syndrome?

About 5–10% of pre-menopausal women are affected by Polycystic Ovary Syndrome (PCOS) [1–4] and its treatment could be very long, but always symptom-oriented, and also dynamic and adapted to the changing circumstances and personal needs of the individual patient. Ovarian dysfunction causes metabolic disorders and hyperandrogenism; these should be counteracted by all therapeutic approaches usually used in the management of PCOS [4].

Is berberine good for obesity?

Berberine is also shown to be effective against insulin resistance and obesity, particularly against visceral adipose tissue in vitro and in murine models [2, 7, 8].

Does Berberine help with insulin resistance?

Two authors find out that berberine induced a redistribution of adipose tissue, reducing VAT in the absence of weight loss and improved insulin sensitivity, quite like metformin. One author demonstrated that berberine improved the lipid pattern. Moreover, three authors demonstrated that berberine improved insulin resistance in theca cells with an improvement of the ovulation rate per cycle, so berberine is also effective on fertility and live birth rates.

Is Berberine used in China?

Berberine is not only used in China, but also is being administered by English medical doctors dealing with women affected by PCOS to counteract PCOS’ symptoms and signs [16]. Rooney and Pendry in their survey among English clinicians pointed out the lack of scientific literature regarding the use of herbal medicine and consequently, the lack of uniformity in herbal prescription against PCOS [16].

Is PCOs a metabolic disorder?

PCOS is an endocrine–metabolic disorder very similar to the metabolic syndrome, indeed they have a common factor: insulin resistance. Ong et al. [6] explained that insuline resistance is the key factor that could cause obesity and anovulatory cycles and actually, that should be the target of therapeutic molecules against PCOS and also Metabolic Syndrome [2, 6].

Can botanicals be used for PCOs?

Because of the length of the therapy that can last for the whole fertile period of a woman and, therefore, could interfere with a hypothetical pregnancy, also botanicals have been considered against PCOS. In particular, berberine (BBR) is an alkaloid plant extract widely used in Chinese Herbal Medicine against infections, hypercholesterolemia, Diabetes type 2 and cancer [6].

What are the benefits of taking supplements for PCOs?

Supplements claim to help with hormone regulation, insulin resistance, and inflammation associated with PCOS. Supplements aren’t regulated by the U.S. Food and Drug Administration (FDA). Speak to your doctor before taking any supplement.

What foods can help with PCOs?

Trusted Source. as low-level chronic inflammation. Adding anti-inflammatory foods to your diet can help ease your symptoms. Consider the Mediterranean diet as an option. Olive oil, tomatoes, leafy greens, fatty fish like mackerel and tuna, and tree nuts all fight inflammation.

How to manage menstrual cycle?

Diet changes. Eating the right foods and avoiding certain ingredients may help you manage your symptoms. A nourishing diet can help regulate your hormones and your menstrual cycle. Eating processed, heavily preserved foods can contribute to inflammation and insulin resistance.

Is there a one size fits all approach to PCOs?

You may be able to manage these factors and ease your symptoms through lifestyle changes and dietary supplements, but there’s no one-size-fits-all approach to treatment.

Does green tea help with PCOs?

And if you can’ t go without a caffeine boost, reach for green tea instead. Green tea has been shown to improve insulin resistance. It can also help with weight management in women with PCOS.

Can PCOs cause heavy bleeding?

Some women with PCOS experience heavy bleeding during their period. This can result in iron deficiency or anemia. If your doctor has diagnosed you with either condition, talk with them about how you can up your iron intake. They may recommend adding iron-rich foods such as spinach, eggs, and broccoli to your diet.

A Supplement That "Mimics the Effects of Exercise"

Exercise in a bottle? That's how some marketers are describing berberine. Yes, that's over the top... and potentially criminal. But it's not completely inaccurate either according to clinical trials.

AMPK

AMPK (AMP-activated protein kinase) is an enzyme responsible for maintaining energy balance in cells. AMPK helps balance blood sugar levels, fats in your blood, and energy levels.

A Few Studies

Test tubes: Berberine was shown to influence certain genes that regulate metabolism. There are certain genes that, when turned on, can cause adaptive thermogenesis (AT) or the slowing down of metabolism. Berberine may put these genes into a headlock and reduce their ability to ruin your waistline.

How to Use Berberine

Berberine can be found as an isolated supplement, or you can take one of the berberine herbs listed above.

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