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6,7 Berberine, typically dosed around 500 mg three times daily, has demonstrated therapeutic potential for diabetes and lipid disorders, comparable to pharmaceuticals like metformin

These are not minor fluctuations

Vibration controlled transient elastography (VCTE) is most commonly used methods to assess for fibrosis, with liver stiffness measurements less than 8 kPa used to rule out advanced fibrosis

However, dont interpret this as permission for inconsistent dosing