Benefits
Healthy blood sugar support (ordinary berberine research)
A pooled analysis of 46 randomized trials, in people with type 2 diabetes, often alongside standard treatment, found ordinary berberine lowered HbA1c by about 0.7 points and also lowered fasting glucose and insulin resistance. These trials used far more berberine than a BioBerb serving provides, and none tested BioBerb.
Cholesterol and triglyceride support (ordinary berberine research)
A pooled analysis of 16 randomized trials with 2,147 people with high blood lipids found ordinary berberine lowered total cholesterol, LDL cholesterol and triglycerides. The authors rated most trials as low quality with a high risk of bias. None of these trials used BioBerb.
Dispersible berberine for lower doses
Ordinary berberine dissolves and absorbs poorly. BioBerb uses LipiSperse technology to disperse berberine in cold water, and its supplier says this allows lower doses. Press materials report blood levels after a single 188 mg dose, but that study is not indexed in PubMed and did not measure any health outcome.
Mechanism of action
Poor absorption of ordinary berberine
Berberine dissolves poorly and crosses the gut wall poorly, so little of an oral dose reaches the blood. In rats, a laboratory formulation that improved dissolution raised berberine absorption about fivefold. This is the problem that enhanced forms such as BioBerb aim to address.
LipiSperse dispersion technology
LipiSperse is Pharmako Biotechnologies' patented dispersion technology. The supplier says it lets berberine disperse in cold water and improves absorption. No published study has compared BioBerb with ordinary berberine.
Effects on drug-processing enzymes
In healthy men, 300 mg of berberine three times a day for 2 weeks reduced the activity of the liver enzymes CYP2D6, CYP2C9 and CYP3A4. This is why berberine can raise blood levels of some medicines.
Clinical trials
Two 3-month pilot studies: a randomized comparison of berberine with metformin, both 500 mg three times a day, and an add-on study (Yin et al. 2008, Metabolism)
36 adults with newly diagnosed type 2 diabetes, and 48 adults with poorly controlled type 2 diabetes.
In the first study, HbA1c fell from 9.5 to 7.5 percent on berberine, with glucose effects similar to the comparison drug. In the second, HbA1c fell from 8.1 to 7.3 percent and insulin resistance fell by about 45 percent. Transient stomach side effects affected about a third of patients. This trial used ordinary berberine, not BioBerb.
Randomized crossover study of 300 mg of berberine three times a day for 2 weeks, tested with probe drugs (Guo et al. 2012, Eur J Clin Pharmacol)
Healthy men.
Berberine reduced the activity of CYP2D6, CYP2C9 and CYP3A4; for example, blood levels of midazolam rose by about 40 percent. Other enzymes tested did not change.