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In traditional medicine it is popular for physical and mental uplift or concentration support

My medication vial was loose and upside down inside a small ziplock bag, stuffed inside a larger ziplock with the supplies

Berberine doesnt work if you eat McDonalds every day. As for who should skip the supplement, that group includes pregnant women or women who are breastfeeding (berberine can be transmitted through the placenta and may harm a fetus)