berberine_weight_loss_2

Berberine for Weight Loss: The whole truth about the newest supplement ingredient

by George Chatzis, Dietician - Nutritionist, MSc

27 Jun 2025 • 0 min read

If you're looking for the hottest name in weight control supplements, you've definitely heard of the word "berberine". If you're wondering if this is just another advertising gimmick or a truly effective tool in your weight management efforts, then this article is for you.


Berberine. What is it?

Berberine was first isolated in 1917; it is a naturally occurring plant alkaloid found in plants such as Berberis vulgaris, Hydrastis canadensis, and Coptis chinensis.It belongs to a category of natural substances that have a long tradition in Chinese and Indian traditional medicine for a variety of health problems.

Berberine & Properties. What makes it so special?

In an earlier article, we discussed its hypoglycemic effects and benefits on blood sugar, as well as its hypolipidemic, anti-inflammatory, and antimicrobial effects. Recently, the scientific community has turned to its effect on metabolism and body weight control.

Berberine & Weight Loss. What's the truth?

Berberine is not a fat-burner, it does not act as a thermogenic or as stimulatory manner, but its main action is found in multiple molecular mechanisms.
Berberine activates an enzyme called AMPK (AMP-activated protein kinase), which is often described as the "metabolism switch."
  • Improves insulin sensitivity
  • Decreases the rate of lipogenesis (production of new fat)
  • Increases the burning of fatty acids
  • Enhances glycolysis and energy production
This practically means that it can work more slowly but more deeply, targeting the roots of the problem and not the symptoms.
In more detail, according to studies and meta-analyses of clinical trials, it was found that supplemental berberine, in combination with diet and exercise:
  • Contributed to a waist reduction of 1-2.7 cm
  • It was associated with an average loss of 1.5-2.5 kg, mainly visceral fat.
Some research suggests that taking berberine can lead to a reduction in Body Mass Index (BMI), waist circumference, and total body fat – particularly in the abdominal area, which is associated with metabolic disorders.
  • Improving insulin sensitivity and blood sugar levels
Improving blood sugar levels helps reduce intense cravings and fat storage. Berberine appears to significantly help regulate insulin and glucose, which is critical in any weight loss effort.
  • Reducing appetite and cravings
Some studies show that berberine can positively affect levels of leptin and other hunger-related hormones, leading to reduced food intake and better appetite control. However, the results were mixed, so further investigation is recommended on a long-term basis and with larger population samples.
At the same time, individuals with metabolic syndrome or pre-diabetes showed better response to weight loss, while regular use in overweight patients had a positive effect on reducing central obesity. Research on individuals with metabolic disorders suggests that berberine may improve blood lipids, liver enzymes, and contribute to weight loss and fat mass reduction.
The strongest clinical data to date support the positive effects of berberine on hormonal health in polycystic ovary syndrome (PCOS) and immune system function.

In a study that evaluated various treatment protocols in women with polycystic ovary syndrome (PCOS) or metabolic dysfunction, berberine—particularly when combined with metformin—showed significant benefits in key health indicators.

Specifically:
The combination of metformin + berberine was the most effective for improving:
  • Fasting insulin
  • total testosterone
  • waist-to-hip ratio
  • body mass index (BMI)

Berberine, bioavailability & Combination with Silymarin.

According to pharmacological studies, berberine has low bioavailability, meaning it is absorbed by the body to a small extent. To overcome this limitation, scientists researched ways to enhance absorption and found that taking silymarin – the active ingredient in milk thistle – at the same time dramatically improves absorption.
The most studied ratio is 1:5 (silymarin:berberine). For example, if someone is taking 1000 mg of berberine daily, they should also be taking approximately 200 mg of silymarin.
Berberine, potential side effects, and safety of administration.

Berberine is considered safe when used in doses of 500–2000 mg per day, divided into 2–3 doses. The recommended duration for taking the supplement to achieve the best possible results is between 8 and 12 weeks. It has created a positive safety profile, as it offers multiple benefits without putting a significant burden on the liver.

However, mild side effects may occur, such as:
  • Digestive disorders (bloating, diarrhea, constipation).
  • Possible interactions with medications, mainly antidiabetic and anticoagulant drugs.
It is not recommended for use by pregnant women, nursing mothers, and children.

Disclaimer: Before starting any dietary supplement, it is important to consult a health professional (dietitian, doctor or pharmacist), especially if there is a health issue or you are taking medication.


Conclusion

Berberine has gained a lot of popularity, especially through social media, but it is also accompanied by considerable scientific evidence. It is not a "magic pill," but a documented natural supplement with promising data that can provide substantial support for weight loss, especially for people with prediabetes, metabolic syndrome, or excess weight. We must not forget, however, the foundations of sustainable and effective weight management, which is the modification of our eating habits and the inclusion of exercise in a form that we enjoy, so that we can maintain it. And during this time, it is reasonable to safely use a natural extra boost, such as berberine, to help us even more to pursue the desired result in both our weight and, above all, our health.



Scientific references
  1. Amini MR, Sheikhhossein F, Naghshi S, Djafari F, Askari M, Shahinfar H, Safabakhsh M, Jafari A, Shab-Bidar S. Effects of berberine and barberry on anthropometric measures: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med. 2020 Mar;49:102337. doi: 10.1016/j.ctim.2020.102337. Epub 2020 Feb 3. PMID: 32147051.
  2. Asbaghi O, Ghanbari N, Shekari M, Reiner Ž, Amirani E, Hallajzadeh J, Mirsafaei L, Asemi Z. The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trials. Clin Nutr ESPEN. 2020 Aug;38:43-49. doi: 10.1016/j.clnesp.2020.04.010. Epub 2020 May 6. PMID: 32690176.
  3. Bellavite, P., Fazio, S., & Affuso, F. (2023). A descriptive review of the action mechanisms of berberine, quercetin and silymarin on Insulin Resistance/Hyperinsulinemia and cardiovascular prevention. Molecules, 28(11), 4491.
  4. Fatemeh Mohtashaminia, Mohammad Reza Amini, Fatemeh Sheikhhossein, Kurosh Djafarian, Sakineh Shab-Bidar,Effects berberine–silymarin on liver enzymes: A systematic review and meta-analysis of randomized controlled trials,Clinical Nutrition ESPEN,olume 49,2022,Pages 181-186,ISSN 2405-4577.
  5. Fogacci F, Grassi D, Rizzo M, Cicero AFG. Metabolic effect of berberine–silymarin association: A meta-analysis of randomized, double-blind, placebo-controlled clinical trials. Phytotherapy Research. 2019; 33: 862–870.
  6. García-Muñoz, A. M., Victoria-Montesinos, D., Ballester, P., Cerdá, B., & Zafrilla, P. (2024). A descriptive review of the antioxidant effects and mechanisms of action of berberine and silymarin. Molecules, 29(19), 4576.
  7. Ilyas Z, Perna S, Al-Thawadi S, Alalwan TA, Riva A, Petrangolini G, Gasparri C, Infantino V, Peroni G, Rondanelli M. The effect of Berberine on weight loss in order to prevent obesity: A systematic review. Biomed Pharmacother. 2020 Jul;127:110137. doi: 10.1016/j.biopha.2020.110137. Epub 2020 Apr 27. PMID: 32353823.
  8. Asbaghi, Niloofar Ghanbari, Mahdi shekari, Željko Reiner, Elaheh Amirani, Jamal Hallajzadeh, Liaosadat Mirsafaei, Zatollah Asemi, The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trials,Clinical Nutrition ESPEN, Volume 38,2020,Pages 43-49,ISSN 2405-4577.
  9. Mohammad Reza Amini, Fatemeh Sheikhhossein, Sina Naghshi, Farhang Djafari, Mohammadreza Askari, Hossein Shahinfar, Maryam Safabakhsh, Alireza Jafari, Sakineh Shab-Bidar,Effects of berberine and barberry on anthropometric measures: A systematic review and meta-analysis of randomized controlled trials, Complementary Therapies in Medicine, Volume 49, 2020, 102337, ISSN 0965-2299.
  10. Pan Xiong, Li Niu, Sam Talaei, Hamed Kord-Varkaneh, Cain C.T. Clark, Mihnea-Alexandru Găman, Jamal Rahmani, Masoumeh Dorosti, Seyed Mohammad Mousavi, Meysam Zarezadeh, Hossein Taghizade-Bilondi, Jitao Zhang, The effect of berberine supplementation on obesity indices: A dose– response meta-analysis and systematic review of randomized controlled trials,Complementary Therapies in Clinical Practice, Volume 39, 2020, 101113, ISSN 1744-3881.
  11. Xiong P, Niu L, Talaei S, Kord-Varkaneh H, Clark CCT, Găman MA, Rahmani J, Dorosti M, Mousavi SM, Zarezadeh M, Taghizade-Bilondi H, Zhang J. The effect of berberine supplementation on obesity indices: A dose- response meta-analysis and systematic review of randomized controlled trials. Complement Ther Clin Pract. 2020 May;39:101113. doi: 10.1016/j.ctcp.2020.101113. Epub 2020 Feb 1. PMID: 32379652.
  12. Ye Y, Liu X, Wu N, Han Y, Wang J, Yu Y, Chen Q. Efficacy and Safety of Berberine Alone for Several Metabolic Disorders: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Front Pharmacol. 2021 Apr 26;12:653887. doi: 10.3389/fphar.2021.653887. PMID: 33981233; PMCID: PMC8107691.
  13. Zamani Mohammad , Zarei Mahtab , Nikbaf-Shandiz Mahlagha , Hosseini Shabnam , Shiraseb Farideh , Asbaghi Omid The effects of berberine supplementation on cardiovascular risk factors in adults: A systematic review and dose-response meta-analysis Frontiers in Nutrition Volume 9 – 2022.
  14. Zeynab Kavyani, Erfan shahhosseini, Amir Hossein Moridpour, Maryam Falahatzadeh, Mahdi Vajdi, Vali Musazadeh, Gholamreza Askari, The effect of berberine supplementation on lipid profile and obesity indices: An umbrella review of meta-analysis, PharmaNutrition,Volume 26, 2023, 100364, ISSN 2213-4344.
  15. Han Zhao, Chuan Xing, Jiaqi Zhang, Bing He Comparative efficacy of oral insulin sensitizers metformin, thiazolidinediones, inositol, and berberine in improving endocrine and metabolic profiles in women with PCOS: a network meta-analysis Reprod Health (2021 Aug 18).
*Text editing: Maria Kirmanidou

Related Articles

berberine

Berberine & Blood Sugar: A promising ingredient

Berberine is a natural ingredient derived from the family plant, Berberis vulgaris.

weight_management_and_nutrition

Weight Management & Nutrition: Is it as complicated as it seems?

You can't imagine how many factors ultimately influence what and how much we eat - but it's not so complicated, as we might think.

apple_cider_vinegar

Apple Cider Vinegar for Weight Loss: What is it and what benefits can provide?

Apple cider vinegar is one of the most well-known beverages and widely used supplements in weight loss.