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To lower the risk of side effects, berberine is recommended to be taken with food

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Common side effects: Gastrointestinal (nausea, diarrhea, vomiting, constipation) typically mildtomoderate and dosedependent

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Electrolyte abnormalities other than hyperkalemia may be more likely when spironolactone is used in combination with other diuretic therapy

Ongoing Support Follow-up care gives patients an opportunity to discuss questions, progress, side effects and treatment concerns