The medication gives you a chance, and what you do during that time will determine whether you keep muscle, avoid weight gain, or need dosage changes that could have been avoided
Journal of Medical Internet Research, 26, e65440
There is also concern about the potential for excessive or rapid weight loss when combining treatments, which may increase the risk of nutritional deficiencies, particularly in protein, vitamins, and minerals
Berberis Vulgaris and Berberine: An Update Review
So, once you move past the escalation phase and settle onto a stable maintenance dose, your body achieves metabolic equilibrium
A clinical deficiency, the kind that shows up on blood work and manifests as fatigue, brain fog, muscle cramps, and bone loss