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There is no evidence of serotonin syndrome, QT prolongation, or other serious drug interactions between these agents, but vigilance for additive side effects remains prudent

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The FDA explicitly warns against using illegally marketed or compounded drugs without proper medical oversight, emphasizing the critical safety advantage of regulated pharmaceuticals over unregulated supplements like berberine

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And even the tiny amount that survived would face the intestinal epithelial barrier, a wall of tightly packed cells that peptides of this molecular weight cannot easily cross