Berberine is available in the United States as a dietary supplement, not as an FDA-approved medication
Among patients with UC, those treated with GLP1RA had lower rates of corticosteroid use (39.9% vs 76.0%), emergency department visits (41.9% vs 52.7%), hospitalization (30.6% vs 55.8%), intestinal resection (17.8% vs 53.9%), and mortality (5.8% vs 10.9%)
And whichever direction you are leaning, a short conversation with your doctor or pharmacist, especially if you take other medicines, is the single most useful step you can take before you start
Additionally, the medication's effects on gut motility and the gastrointestinal microenvironment have not been extensively studied in the context of active intestinal inflammation
JACC Basic Transl Sci 3:844857 Schreck R, Rieber P, Baeuerle PA (1991) Reactive oxygen intermediates as apparently widely used messengers in the activation of the NF-kappa B transcription factor and HIV-1