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doi: 10.2337/db23-0377 18

One dose-response meta-analysis of randomized trials found berberine reduced: BMI by about 0.29 kg/m Waist circumference by about 2.75 cm Body weight : no significant change in that analysis That can be meaningful for cardiometabolic risk over time, but it is not melt fat fast. Also, NCCIH emphasizes that there have not been many well-controlled human trials for weight loss, so confidence is limited