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a patient on insulin or sulfonylureas might experience lower blood sugars once berberine is added, so glucose should be monitored and diabetes medications adjusted to avoid hypoglycemia

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New York: Springer-Verlag (2003) p

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Thus, mild tachycardia caused by GLP-1R agonists 21 may be induced by the activation of GLP-1Rs on SPN axons innervating cardiac postganglionic neurons