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Preliminary clinical research shows that berberine can inhibit cytochrome P450 3A4 (CYP3A4) activity and reduce metabolism of midazolam

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Signs of Possible Cerebrovascular Insufficiency Dizziness, light-headedness, transient confusion, difficulty talking or remembering, mental slowness, problems with executive functions (planning, organizing, and getting things done), sudden weakness, or falling can be indicators of vascular insufficiency

If treatment is appropriate, the provider may prescribe a personalized plan

Adv Neuroimmunol 4: 57-67

I regularly wear hats and big sunglasses to protect my face