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This approach trades some weight loss speed for better body composition

doi:10.1016/j.rbmo.2017.03.023 34

doi: 10.3390/nu15092080

[15] [16] Research indicates berberine may help reduce blood glucose levels and improve insulin sensitivity, though evidence is generally modest and of variable quality

While semaglutide does help maintain weight and increase hemoglobin A1c levels (a measure for blood sugar management), it has also been linked to some gastrointestinal adverse effects, according to a new study