View abstract. Ghosh AK, Bhattacharyya FK, and Ghosh DK. There was a significant difference between berberine and placebo and between berberine and no treatment in terms of decreasing total testosterone and luteinizing hormone to follicle-stimulating hormone (LH/FSH) ratio (8 RCTs, 577 participants, MD: 0.34, 95% CI: 0.47 to 0.20; 3 RCTs, 179 participants, MD: 0.44, 95% CI: 0.68 to 0.21, respectively). Polycystic ovary syndrome. Therapeutic Research Faculty 2020. Kuo, C. L., Chi, C. W., and Liu, T. Y. Modulation of apoptosis by berberine through inhibition of cyclooxygenase-2 and Mcl-1 expression in oral cancer cells. Psychiatry Clin Neurosci 2022;76(3):77-85. Biol Pharm Bull 1999;22(4):391-396. It modulates testosterone levels depending on the natural levels according to your gender. Several studies showed that the combination of d-chiro-inositol (DCI) and alpha-lipoic acid can improve the insulin resistance and menstrual cycle of PCOS patients [58, 59], while there was no statistically difference in total cholesterol and triglycerides levels when compared with the control group [59]. 4 benefits of pineapple sexually [], Article Contents Erectile dysfunction and blood flow Can exercise help ED? Clin Res 1983;31(2):227A. Comparative effects of tetrandrine and berbamine on production of the inflammatory cytokines interleukin-1 and tumor necrosis factor. 2012;166(1):99-105. PLoS.One. Li, G. H., Wang, D. L., Hu, Y. D., Pu, P., Li, D. Z., Wang, W. D., Zhu, B., Hao, P., Wang, J., Xu, X. Q., Wan, J. Q., Zhou, Y. Chen XX, Chen YX, Bi HX, et al. Ksiezycka E, Cheung W, and Maroko PR. Biomed.Mass Spectrom. Other authors reached the same conclusion in their review and meta-analysis of the scientific evidence. Effect of berberine on cardiovascular disease risk factors: a mechanistic randomized controlled trial. Diabetes Care 2011;34 Suppl 2:S279-84. Abushouk A. I., Salem A. M. A., Abdel-Daim M. M. Rahimi-Madiseh M., Lorigoini Z., Zamani-Gharaghoshi H., Rafieian-Kopaei M. Imanshahidi M., Hosseinzadeh H. Pharmacological and therapeutic effects of Berberis vulgaris and its active constituent, berberine. Bhide MB, Chavan SR, Dutta NK. This is in contrast to the effects seen in women, where berberine supplementation was found to reduce testosterone according to existing studies. Berberine-stimulated glucose uptake in L6 myotubes involves both AMPK and p38 MAPK. After receiving a degree in ultrasound, he worked in hospitals and started his private practice as a Diagnostic Medical Sonographer. The antipsoriatic Mahonia aquifolium and its active constituents; II. J Clin Lipidol. First, all included trials were conducted among Chinese women with PCOS in mainland China. J Biomed Sci 2005;12:791-801. The authors declare that they have no conflicts of interest. However, there was significant decrease in LH/FSH ratio between berberine and metformin (MD: 0.90, 95% CI: 1.58 to 0.22) [25] (Table 2). One bottle of Thorne's Berberine Capsules costs $38 if you purchase it once. However, more recent evidence points out the opposite, which increases testosterone in some people. J Ethnopharmacol. Berberine is an ingredient found in many natural supplements and has been shown to have potential health benefits. Khin, Maung U., Myo, Khin, Nyunt, Nyunt Wai, Aye, Kyaw, and Tin, U. Berberine is a bioactive substance extracted from certain plants. Additionally, a meta-analysis showed that WHR was slightly but significantly decreased in the berberine groups versus placebo or no treatment (5 RCTs, 402 participants, MD: 0.04, 95% CI: 0.05 to 0.03, I2=0) (Table 2) [15, 27, 30, 31, 33]. A. Indian J Med Res. Berberine was associated with decreasing total cholesterol (3 RCTs, 201 participants; MD: 0.44, 95% CI: 0.60 to 0.29), waist circumference (3 RCTs, 197 participants, MD: 2.74, 95% CI: 4.55 to 0.93), and waist-to-hip ratio (4 RCTs, 258 participants, MD: 0.04, 95% CI: 0.05 to 0.03) compared with metformin, but not with improved BMI (4 RCTs, 262 participants, MD: 0.03, 95% CI: 0.46 to 0.39). Graduated as a General Practitioner in 2015, Medical Sonographer since 2016, and Medical Writer since 2017. Jiang XW, Zhang Y, Zhu YL, et al. Can Berberine Increase Testosterone In Men? 4-10-2001;165(1):35-42. Chun YT, Yip TT, Lau KL, and et al. Clin Exp.Pharmacol Physiol 2012;39(5):406-411. View abstract. Am J Cardiol. 1991;49(4):315-324. View abstract. Experimental Parasitology 1985;60:404-413. Zhonghua Xin.Xue.Guan.Bing.Za Zhi. 1999;66(2):227-233. Berberine has most often been used by adults in doses of 0.4-1.5 grams by mouth daily for up to 2 years. If not, a fixed effects model was used. The Effect of Berberine on Reproduction and Metabolism in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis of Randomized Control Trials Evid Based Complement Alternat Med. Peng, W. H., Hsieh, M. T., and Wu, C. R. Effect of long-term administration of berberine on scopolamine-induced amnesia in rats. Berberine: a potential phytochemical with multispectrum therapeutic activities. Nutrients 2021;14(1):124. AMPK also affects the production of fatty acids and glucose metabolism, both of which are linked to obesity and diabetes. Zhu B and Ahrens FA. International Journal of Toxicology 1999;18:35. Genome Med 2021;13(1):125. Men should increase their exposure to the sun to increase testosterone levels naturally. [The action of Berberin-drops on the intraocular pressure (IOP) (author's transl)]. The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: a systematic review and meta-analysis of randomized controlled trials. Lancet Gastroenterol Hepatol. In males, it may increase testosterone levels while decreasing them in females, making it suitable for a hormone detox plan. Medicine (Baltimore). View abstract. Berberine tannate in acute diarrhoea. Recent research has gone through the apparent discrepancy and lack of consensus mentioned above. In other words, it modulates how androgen receptors react to testosterone. There was a significant difference in SHBG between berberine and metformin (2 RCTs, 146 participants, MD: 5.97, 95% CI: 1.02 to 10.91) [15, 33] (Figure 4(b)). Starting his medical practice, he decided to extend his compulsory social service to have a close-up experience with patients and communities. Barbieri R. L., Makris A., Ryan K. J. View abstract. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. View abstract. Molecular cancer therapeutics,10(8), 1346-1356. https://pubmed.ncbi.nlm.nih.gov/21613449/, Xie, L., Zhang, D., Ma, H., He, H., Xia, Q., Shen, W., & Wu, X. Berberine might decrease how quickly the body activates it, which might decrease the effects of losartan. So does caloric deficite or/and fasting. Seery TM and Bieter RN. Berberine was associated with higher ovulation per cycle, but similar ovulation per subject (RR: 1.51, 95% CI: 1.23 to 1.86; RR: 1.21, 95% CI: 0.95 to 1.54, respectively), in women with PCOS compared with no treatment (Table 2) [26]. These plants have historically been used to treat everything . Berberine is a bitter-tasting and yellow-colored chemical. Thus the results are limited and it is difficult to draw solid conclusions about the efficacy of berberine in treating PCOS. Li M. F., Zhou X. M., Li X. L. The effect of berberine on polycystic ovary syndrome patients with insulin resistance (PCOS-IR): a meta-analysis and systematic review. Berberis artistata inhibits PAF induced aggregation of rabbit platelets. Please Check Your Email for Further Instruction. Supplementing with berberine, a chemical found in several plants widely used in traditional Chinese medicine, can result in reductions in total and LDL cholesterol, as well as a slight testosterone increase, in men, a newly-published study appearing in Nutrients found. Meta-analyses of the effect of berberine on adiposis: (a) waist circumference and (b) waist-to-hip ratio compared with metformin. Save my name, email, and website in this browser for the next time I comment. All four RCTs reported clinical reproductive outcomes [26, 28, 33, 34]. View abstract. Miyazaki, H., Shirai, E., Ishibashi, M., Hosoi, K., Shibata, S., and Iwanaga, M. Quantitation of berberine chloride in human urine by use of selected ion monitoring in the field desorption mode. This information may not fit your specific health circumstances. Ovarian granulosa cells from porcine follicles were isolated and cultured in vitro to establish an insulin resistance model induced by dexamethasone, and these cells had significantly lower [3H]-glucose uptake and significantly higher testosterone levels. Subbaiah TV and Amin AH. View abstract. Zhongguo Yao Li Xue.Bao. Eur J Endocrinol. Ind J Physiol & Pharmac 1971;15(3):111-132. The funnel plot for reproductive outcomes indicated that there were no small-study effects or publication bias (Figure 8). Sabouraudia. All studies but one reported the reasons for withdrawals if there were withdrawals. Canker sores. Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. A systematic review has reported on randomized controlled trials (RCTs) comparing berberine with metformin in women with PCOS, which evaluated the effect of berberine on glucose and lipid metabolic indexes and WHR of PCOS patients [22]. There were significant differences between berberine and metformin in terms of decreasing LH/FSH. Characteristics of randomized controlled trials included in this systematic review and meta-analyses. As an overview, berberine is an alkaloid supplement mainly used to control blood sugar levels and improve blood sugar issues such as metabolic syndrome and type 2 diabetes. Brower M., Brennan K., Pall M., Azziz R. The severity of menstrual dysfunction as a predictor of insulin resistance in pcos. But does berberine increase testosterone levels in men? Gematologiia i Transfuziologiia 1994;39(5):33-35. Clinical effect of metformin combined with berberine on obese women with polycystic ovary syndrome. He was a part of a research group focused on human metabolism and then obtained a degree in Medical Sonography in 2016. Thus, the mechanism of protein degradation described above is well-understood, but the effects of berberine on testosterone levels require further research. For the glucose profile, four studies addressed glucose and insulin levels in the berberine group versus controls [15, 25, 31, 33]. Abidi P., Zhou Y., Jiang J.-D., Liu J. Extracellular signal-regulated kinase-dependent stabilization of hepatic low-density lipoprotein receptor mRNA by herbal medicine berberine. View abstract. Three studies addressed adverse events in the berberine group versus placebo [15, 30, 33]. Clin Endocrinol (Oxf) 2014;80(3):425-31. Berberine might decrease how quickly the body breaks down cyclosporine. Mohan, M., Pant, C. R., Angra, S. K., and Mahajan, V. M. Berberine in trachoma. Some studies report that metformin might improve live birth rates compared with placebo, and coupling metformin with clomiphene citrate might improve clinical pregnancy and ovulation rates when compared with clomiphene citrate alone [58]. 2018;105:1050-1053. View abstract. Lu, S. S., Yu, Y. L., Zhu, H. J., Liu, X. D., Liu, L., Liu, Y. W., Wang, P., Xie, L., and Wang, G. J. Berberine promotes glucagon-like peptide-1 (7-36) amide secretion in streptozotocin-induced diabetic rats. Overview Berberine is a chemical found in some plants like European barberry, goldenseal, goldthread, Oregon grape, phellodendron, and tree turmeric. Chen X., Liu S., Han X. In our study, berberine was associated with lower fasting glucose compared with placebo and with significantly reduced 2-hour glucose compared to no treatment. Oral Dis. Sensitivity analysis was carried out to explore heterogeneity due to extreme data. Foods high in protein (such as lean beef, eggs, nuts, and seeds) help increase testosterone levels without adverse health consequences. View abstract. Four studies performed adequate allocation concealment, but only two used blinding. Also, some early research suggests that taking 500 mg of berberine 2-3 times daily for up to 3 months might control blood sugar as effectively as metformin or rosiglitazone. Eur J Clin Pharmacol 2013;69(10):1861-2. Wen C, Wu L, Fu L, Zhang X, Zhou H. Berberine enhances the anti tumor activity of tamoxifen in drug sensitive MCF 7 and drug resistant MCF 7/TAM cells. However, the evidence to support these associations is weak, and women taking metformin often suffer from gastrointestinal side effects. A total of 9 RCTs were included in this systematic review. Supek Z and Tomic D. Farmakoloko-kemijsko istrazivanje zutike (. Metabolism 2010;59(2):285-292. However, recent evidence suggests that it has a sex-dependent effect. Janbaz KH, Gilani AH. 7-15-2012;19(10):861-867. View abstract. Wu, J. F. and Liu, T. P. [Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-keto-PGF1 alpha in rats with reversible middle cerebral artery occlusion]. Wang M., Chen S., Zhang D. Effect of berberine versus metformin in women with polycystic ovary syndrome: a systematic review of randomized controlled trials. View abstract. Absorption, distribution and excretion of berberine. Synthesis and structureactivity relationship of berberine analogues in LDLR up-regulation and AMPK activation. Alberto Parra is a licensed General Practitioner. J Dig Dis 2022;23(10):568-76. Mantena, S. K., Sharma, S. D., and Katiyar, S. K. Berberine, a natural product, induces G1-phase cell cycle arrest and caspase-3-dependent apoptosis in human prostate carcinoma cells. View abstract. Hu, F. L. [Comparison of acid and Helicobacter pylori in ulcerogenesis of duodenal ulcer disease]. Consult your healthcare provider for more information about these uses applied to your case. Ma Y., Yang J., Sui M., Liang K., Deng H., Wei W. Study the therapeutic effect of berberine on PCOS patients with insulin resistance. Evaluating the role of alternative therapy in burn wound management: randomized trial comparing moist exposed burn ointment with conventional methods in the management of patients with second-degree burns. Dong H., Wang N., Zhao L., Lu F. Berberine in the treatment of type 2 diabetes mellitus: a systemic review and meta-analysis. Zhong.Xi.Yi.Jie.He.Za Zhi.- Chinese Journal of Modern Developments in Traditional Medicine 1988;8(12):711-3, 707. Federal government websites often end in .gov or .mil. WC (3 RCTs, 197 participants, MD: 2.74, 95% CI: 4.55 to 0.93, I2=33%) [15, 25, 33] and WHR (4 RCTs, 258 participants, MD: 0.04, 95% CI: 0.05 to 0.03, I2=25%) [15, 25, 31, 33] were slightly but significantly lower in the berberine group (Figures 6(a) and 6(b)). Holick, M. F., Lamb, J. J., Lerman, R. H., Konda, V. R., Darland, G., Minich, D. M., Desai, A., Chen, T. C., Austin, M., Kornberg, J., Chang, J. L., Hsi, A., Bland, J. S., and Tripp, M. L. Hop rho iso-alpha acids, berberine, vitamin D3 and vitamin K1 favorably impact biomarkers of bone turnover in postmenopausal women in a 14-week trial. Wang H., Zhu C., Ying Y., Luo L., Huang D., Luo Z. Metformin and berberine, two versatile drugs in treatment of common metabolic diseases. Am J Chin Med 1999;27(2):265-275. J Hum.Hypertens 2008;22(6):389-393. Antiproliferative activity against cell growth of human keratinocytes. Evidence-based Complementary and Alternative Medicine : eCAM, Live birth pregnancy, adverse events, BMI, WC, WHR, SHBG, FAI, TT, LH, FSH, FPG, FINS, TC, TG, HOMA, HDL, LDL, Pregnancy, TT, BMI, WC, WHR, FPG, PPG, FINS, PPINS, LH, FSH, LF, HOMA, TC, TG, HDL, LDL, Pregnancy, BMI, LH, FSH, LF, TT, FPG, FINS, HOMA, TG, LDL, HDL, Pregnancy, ovulation (cycle), FPG, FINS, TC, SHBG, TT, LH, FPG, FINS, BMI, TC, WHR, TG, TT, LH, FSH, HDL, LDL, HOMA, Ovulation (subject), BMI, WHR, TT, LH, FSH, LF, BMI, WC, WHR, FPG, FINS, PPG, TC, TG, LDL, HDL, Live birth pregnancy, conception, ovulation (subject cycle), adverse events, BMI, WHR, FPG, TC, TG, TT, adverse events, LH, FSH. Indian J Med Res 1969;57:2128-31. Individual quality items were investigated using a descriptive component approach that included the six special domains of sequence generation, allocation concealment, blinding, incomplete outcome data, selective outcome reporting, and other bias. Full-text articles were scanned for all potentially relevant articles. The inclusion criterion for the population was women diagnosed with PCOS according to specific criteria, e.g., the Rotterdam criteria. Berberine improves glucose metabolism in diabetic rats by inhibition of hepatic gluconeogenesis. There was no significant difference between berberine and metformin in terms of reducing fasting plasma glucose, postprandial plasma glucose, fasting insulin, or HOMA-IR (4 RCTs [15, 25, 31, 33], 262 participants, MD: 0.03, 95% CI: 0.23 to 0.16, I2=52%; 2 RCTs [15, 25], 116 participants, MD: 0.13, 95% CI: 0.51 to 0.25, I2=0; 4 RCT [15, 25, 31, 33], 262 participants; MD: 0.95, 95% CI: 2.09 to 0.20, I2=12%; 4 RCT [15, 25, 31, 33], 262 participants; MD: 0.22, 95% CI: 0.47 to 0.02, I2=0%, respectively) (Table 2). The nutraceuticals industry has long sought out ingredients which can target inflammatory and lipid pathways in order to . View abstract. 2008;29(7):781-788. Gut Microbes 2022;14(1):2003176. Eur J Cancer 2008;44(16):2425-2432. "Berberine helps with two things," Dr. Bradley says. View abstract. Life Sci. I borrowed my aunts medicine books when I couldnt read and imagined I was lecturing others about the human body. Tao R., Gong J., Luo X., et al. Sun D, Courtney HS, Beachey EH. Analysis of therapeutic effects of estradiol and progesterone combined with berberine on infertile patients with non obese polycystic ovary syndrome. Applying a gel containing berberine can reduce pain, redness, oozing, and the size of canker sores. View abstract. Ive always been passionate about biology and healthcare topics. This study showed that the incidence of live birth was slightly higher but not significant in women with PCOS treated with berberine compared with metformin (RR: 1.32, 95% CI: 0.78 to 2.25) [33], although the original article indicated that there were differences between berberine and metformin (Table 2). Berberine may interact with testosterone due to its ability to act as a selective androgen receptor modulator. Taking berberine and metformin at the same time doesn't appear to increase the amount of metformin in the body. In other words, it may decrease testosterone levels in women with polycystic ovary syndrome while boosting testosterone in males. Circ Arrhythm Electrophysiol 2022;15(10):e011160. Wang L., Kong Y., Ren Y., Shen M. Therapeutic effect of berberine combined with metformin for women with polycystic ovary syndrome and insulin resistance. Effect of berberine on catecholamine levels in rats with experimental cardiac hypertrophy. Imenshahidi M., Hosseinzadeh H. Berberine and barberry (. Meta-analyses of the effect of berberine on reproductive endocrinology indexes: (a) total testosterone and (b) sex-hormone binding globulin compared with metformin. Ann Trop Med Parasitol 1991;85:417-25. Home Sexual Post Can Berberine Increase Testosterone In Men? The plants that contain berberine and over-the-counter supplements with this ingredient are used to treat many health conditions and mitigate the symptoms of others. Berberine reduces cholesterol levels in the blood and improves cardiovascular risk. Berberine, a new inotropic agent - distinction between its cardiac and peripheral responses. Am J Chin Med 2003;31(4):551-562. The effect of berberine on reproduction and metabolism in women with polycystic ovary syndrome: a systematic review and meta-analysis of randomized control trials. Inclusion in an NLM database does not imply endorsement of, or agreement with, Second, our study examined the effect of berberine on testosterone and thromboxane A2 in men for the first time, which may also serve as a reference for future studies on sex-specific effects of berberine. 4 UNI | 4.95 per 1UNI. Lau, C. W., Yao, X. Q., Chen, Z. Y., Ko, W. H., and Huang, Y. Cardiovascular actions of berberine. HeartRhythm Case Rep 2022;8(5):309-12. 2020;5(3):267-75. Ovarian granulosa cells from porcine follicles were isolated and cultured in vitro to establish an insulin resistance model induced by dexamethasone, and these cells had significantly lower [3H]-glucose uptake and significantly higher testosterone levels. Berberine might change how quickly the liver breaks down these medications. The effects of berberine on inflammatory markers in Chinese patients with metabolic syndrome and related disorders: a meta-analysis of randomized controlled trials. 2015 Aug 7;10(8):e0134172. Khin, Maung U. and Nwe, Nwe Wai. J Pharm Pharmacol 2003;55(8):1143-1149. Xie, X., Meng, X., Zhou, X., Shu, X., and Kong, H. [Research on therapeutic effect and hemorrheology change of berberine in new diagnosed patients with type 2 diabetes combining nonalcoholic fatty liver disease]. Jpn.J Pharmacol. Our review of available RCTs suggests that berberine might be useful in restoring normal endocrinological and fertility. 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