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[8] Wharton et al

Individuals with liver disease should exercise caution, as rare cases of liver injury have been reported, and berberine undergoes hepatic metabolism

Those seeking relief from hangover or withdrawal symptoms

The advantage is that you are removing, lifting and tightening skin without having to do a more aggressive surgical intervention

Given the highly successful results of GLP-1 drugs, you might decide the benefits outweigh the drawbacks, and that you need to keep taking them in spite of the complaints