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You should: Check your blood glucose levels more frequently when initiating berberine, especially if you use insulin or sulfonylureas Recognise hypoglycaemia symptoms (trembling, sweating, confusion, rapid heartbeat, dizziness) and know how to respond appropriately Keep fast-acting carbohydrates available (glucose tablets, fruit juice) to treat low blood sugar promptly Contact your GP or diabetes nurse if you experience recurrent hypoglycaemia, as medication adjustments may be necessary Gastrointestinal symptom monitoring is equally important

If fat loss is the dominant priority, we lean toward tesamorelin at full concentration

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FOR SOME PATIENTS INCREASING TO 10MG, 12.5MG OR 15MG DOSES MAY BE NECESSARY