Micronutrients

Berberine: everything you need to know about its effects, dosage and risks

from Dr. Michael Kohlberger, BSc, MSc
on 27.01.2025
Effect of berberine

Berberine is becoming increasingly popular in natural health products, and for good reason. This natural plant compound has a wide range of health benefits, from helping to regulate metabolism to supporting chronic health conditions. In this article, we will explore the effects, dosage, and possible risks of berberine.

What is berberine?

Berberine is a naturally occurring bioactive plant substance that is extracted from various medicinal plants such as barberry, goldenseal and turmeric. Chemically, it is an alkaloid and is characterised by its bright yellow colour. Because it is not very water-soluble, it has been used for centuries for dyeing purposes.

Berberine has also been used for centuries in traditional Chinese and Ayurvedic medicine. It is valued for its antimicrobial, antioxidant, anti-inflammatory and blood sugar-lowering properties and is therefore used for a variety of ailments, including digestive problems, diarrhoea, infections and inflammations. In recent years, the active ingredient has also gained prominence in the field of longevity research.

Occurrence in food: Where is berberine found & how to take berberine

Berberine is found mainly in certain medicinal plants and is not ingested in sufficient quantities through the normal diet. The best-known plants containing berberine include:

  • Barberry (Berberis vulgaris): the plant's acidic berries are particularly rich in vitamin C, while the root of this plant contains a high concentration of berberine.
  • Goldenseal (Hydrastis canadensis): the root of this plant is particularly rich in berberine.
  • Coptis (Coptis chinensis): this plant is traditionally used in Chinese medicine.
  • Oregon grape (Mahonia aquifolium): another natural source of berberine.

Since this natural plant substance does not occur in common foods, it is usually taken in the form of dietary supplements.

Berberine benefits: what is it good for?

Berberine has a wide range of positive effects on the human body.

Effect of berberine on cholesterol and blood lipid levels

One of the best-known benefits of berberine is its effect on blood lipid and cholesterol levels – a real metabolism all-star!

  • Blood lipid levels: Berberine inhibits the formation of new fat deposits in the body and thus supports the fat metabolism.
  • Reducing cholesterol levels: It has been shown to lower LDL cholesterol (‘bad cholesterol’) and triglyceride levels, while simultaneously increasing HDL cholesterol (‘good cholesterol’).

Berberine for diabetes: effect on blood sugar

Berberine can improve insulin sensitivity and promote the absorption of sugar into cells. Studies show that the plant substance works at the molecular level by activating the so-called AMP-activated protein kinase (AMPK) pathway. This is crucial for the energy balance of the cells.

The effect of berberine on diabetes has been investigated in numerous clinical studies. It has been shown that it can lower blood sugar levels in a similar way to metformin, a common diabetes medication. In addition, berberine helps to reduce insulin resistance and improve HbA1c levels (long-term blood sugar levels). This makes it a valuable aid for type 2 diabetes.

Berberine for blood pressure and cardiovascular diseases

In the case of high blood pressure, berberine has also shown positive effects. It has a vasodilatory effect, improves blood flow and lowers blood pressure in a natural way, making it an interesting supplement for cardiovascular diseases.

Berberine and thrombosis: is there a connection?

Berberine shows potential antithrombotic properties. Studies suggest that berberine could reduce the risk of blood clotting by inhibiting platelet aggregation and reducing inflammatory processes.

Berberine also shows possible beneficial effects on endothelial function and lipid levels, which could further reduce the risk of thrombosis. However, the data to date are limited and lack comprehensive human clinical studies to confirm a clear link between berberine and the prevention or treatment of thrombosis.

Effect of berberine on the gut

Gut health plays a crucial role in overall well-being, and berberine can help here too. It has antimicrobial properties and helps to reduce harmful bacteria in the gut without affecting beneficial bacteria. It can therefore be helpful for gastrointestinal complaints such as diarrhoea, irritable bowel syndrome or bacterial infections.

Berberine also has anti-inflammatory effects on the intestines and could help with chronic inflammatory bowel diseases such as Crohn's disease or ulcerative colitis.

Berberine and weight loss

Berberine can support weight loss by stimulating the metabolism and promoting fat burning. Studies show that the plant substance regulates the activity of hormones that influence appetite and fat storage. It can reduce fat absorption in the intestines and increase fat burning in the liver. People who are overweight or obese could therefore benefit from berberine supplementation. But berberine can also help people who want to reduce their abdominal fat. Nevertheless, losing weight requires a healthy lifestyle with a balanced diet and sufficient physical activity.

The right dosage for losing weight: 500 mg berberine 3 times a day is recommended for losing weight. However, the dosage can also be lower to achieve the desired effect due to the capsules' particularly high bioavailability.

Berberine and longevity

One particularly exciting aspect of berberine is its potential influence on longevity. Animal research has shown that berberine has antioxidant and cytoprotective properties that can slow down the aging process. It activates enzymes that are responsible for cell regeneration and protect against degenerative diseases such as Alzheimer's and heart disease. This process is supported above all by protection against oxidative stress. This combats free radicals in the body and thus counteracts cell ageing. Further human research is definitely needed in this area – however, the results regarding improved insulin sensitivity and the reduction of cell stress and inflammation are very promising.

All information on Longevity

Berberine dosage: How much berberine per day?

The recommended daily dose of berberine is 500-1500 milligrams per day. In order to benefit from the positive effects of berberine, dietary supplements should be taken regularly for at least 12 weeks. To get started, a lower dose is often recommended to test tolerability.

The innovative phytosome technology combines berberine with plant-based lecithin. This increases the bioavailability, meaning that a lower dosage is required. At the same time, this also improves tolerability.

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Frequently asked questions about the effect of berberine:

Berberine supports the body by activating the so-called AMPK enzyme, which plays a key role in energy metabolism. It helps

  • lower blood sugar levels,
  • regulate cholesterol and blood lipid levels,
  • lower blood pressure,
  • inhibit inflammation and
  • promote intestinal health.

Due to its versatile effects, berberine is also interesting in the field of longevity for a longer lifespan.

Berberine is particularly suitable for people with metabolic disorders such as type 2 diabetes, high cholesterol or blood fat levels and high blood pressure. People who want to improve their gut health, reduce chronic inflammation or lose weight can also benefit from berberine. However, medical consultation is advisable, especially if you have existing health conditions or are taking medication.

Berberine HCL (hydrochloride) is the salt form of the plant-based alkaloid berberine, which is extracted from various plants such as barberry (Berberis species). The combination with hydrochloride makes berberine more stable and bioavailable, which means that the body can absorb it better.

Berberine should ideally be taken with a meal to improve absorption. Berberine's effect of reducing blood sugar is also particularly helpful around mealtimes.

Yes, berberine can potentially help you lose weight by positively influencing several metabolic processes. Studies show that berberine improves insulin sensitivity, regulates blood sugar levels and inhibits fat production in the liver. It promotes fat burning while reducing fat storage. It can also reduce appetite and reduce inflammation, which is often associated with obesity. However, berberine should be considered as a supplement to a healthy diet and regular exercise.

Sources:

Dang, Yao et al. “Berberine ameliorates cellular senescence and extends the lifespan of mice via regulating p16 and cyclin protein expression.” Aging cell vol. 19,1 (2020): e13060. doi:10.1111/acel.13060. https://pubmed.ncbi.nlm.nih.gov/31773901/

Emamat, H. et al. 2022. The effect of purple-black barberry (Berberis integerrima) on blood pressure in subjects with cardiovascular risk factors: a randomized controlled trial. Journal of Ethnopharmacology. https://pubmed.ncbi.nlm.nih.gov/35150818/

Fang, Xinyi et al. “Research progress on the pharmacological effects of berberine targeting mitochondria.” Frontiers in endocrinology vol. 13 982145. 11 Aug. 2022, doi:10.3389/fendo.2022.982145. https://pubmed.ncbi.nlm.nih.gov/36034426/

Gavia-García, G. et al. 2021. Telomere Length and Oxidative Stress and Its Relation with Metabolic Syndrome Components in the Aging. Biology (Basel). 10(4):253. https://pubmed.ncbi.nlm.nih.gov/33804844/

Guo, Jing et al. “The Effect of Berberine on Metabolic Profiles in Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Oxidative medicine and cellular longevity vol. 2021 2074610. 15 Dec. 2021, doi:10.1155/2021/2074610. https://pubmed.ncbi.nlm.nih.gov/34956436/

Lan, Jiarong et al. “Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension.” Journal of ethnopharmacology vol. 161 (2015): 69-81. doi:10.1016/j.jep.2014.09.049. https://pubmed.ncbi.nlm.nih.gov/25498346/

Révész, D. et al. 2014. Telomere Length as a Marker of Cellular Aging Is Associated With Prevalence and Progression of Metabolic Syndrome. J Clin Endocrinol Metab. 99(12):4607–4615. https://pubmed.ncbi.nlm.nih.gov/25188715/

Twarda-Clapa, Aleksandra et al. “Advanced Glycation End-Products (AGEs): Formation, Chemistry, Classification, Receptors, and Diseases Related to AGEs.” Cells vol. 11,8 1312. 12 Apr. 2022, doi:10.3390/cells11081312. https://pubmed.ncbi.nlm.nih.gov/35455991/

Xiong, Ruo-Gu et al. “Anticancer Effects and Mechanisms of Berberine from Medicinal Herbs: An Update Review.” Molecules (Basel, Switzerland) vol. 27,14 4523. 15 Jul. 2022, doi:10.3390/molecules27144523. https://pubmed.ncbi.nlm.nih.gov/35889396/

Xu, Xinmei et al. “Therapeutic effect of berberine on metabolic diseases: Both pharmacological data and clinical evidence.” Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie vol. 133 (2021): 110984. doi:10.1016/j.biopha.2020.110984. https://pubmed.ncbi.nlm.nih.gov/33186794/

Ye, Yu et al. “Efficacy and Safety of Berberine Alone for Several Metabolic Disorders: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.” Frontiers in pharmacology vol. 12 653887. 26 Apr. 2021, doi:10.3389/fphar.2021.653887. https://pubmed.ncbi.nlm.nih.gov/33981233/

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