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25/Feb/2025

The latest health trend on TikTok has been dubbed “nature’s own Ozempic”. It’s the herbal preparation berberine.

Influencers have been enthusiastically claiming its success in helping them lose weight, with their posts viewed by millions.

But what actually is berberine? How is it related to the drug Ozempic?
Does it help people lose weight? And is it safe?




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Why berberine? What is it anyway?

Many people who cannot lose weight through diet and exercise turn to medication. That includes the high-profile prescription medicine Ozempic, a diabetes drug that also leads to weight loss.

World-wide supply shortages of the drug and the need to get a prescription for it have likely driven people to look for alternatives available online or in pharmacies, such as berberine.

Berberine is a bitter tasting chemical extracted from the roots of plants, such as goldenseal and barberry.

It belongs to the class of plant chemicals called isoquinoline alkaloids. Other well known chemicals in this class include the pain-relieving medicines morphine and codeine.

Berberine extracts have been used in traditional medicines for disorders of the gut and to treat infections. It is mostly taken orally as a powder, capsule or tablet.




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Is it the same as Ozempic?

Berberine is not the same as Ozempic. Ozempic is the brand name of the drug semaglutide, which is used to treat people with type 2 diabetes.

Ozempic works by imitating a natural hormone called glucagon-like peptide-1 (GLP-1). This hormone is important because it helps the body produce insulin to regulate blood sugar levels.

More recently, Ozempic has been shown to be effective for weight loss in people who are overweight or obese. By mimicking GLP-1, Ozempic makes you feel full and less hungry.




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Does berberine help you lose weight?

In clinical studies, berberine leads to modest weight loss in people who are obese. But the data are not conclusive as most published studies are small and of varying quality.

The strongest evidence we have comes from two meta-analyses, types of studies that pool together and analyse the results of other studies.

These show that taking a 300-3,000mg berberine a day orally is associated with modest reductions in body mass index (BMI), waist circumference and body weight (around 3kg). These results were most significant in women with a BMI great than 30, taking at least 1,000mg daily for at least three months.

Studies have only been conducted with people who are overweight or obese. So we don’t know whether berberine leads to weight loss in others.

We also don’t yet have the data to say what happens when people stop taking berberine.

We don’t exactly know how berberine works to help people lose weight. But a recent systematic review (when researchers pool together evidence) gives some clues.

It influences GLP-1 levels like Ozempic, but probably results in weight loss in other ways too. It decreases blood sugar levels, stimulates insulin release, influences how the body absorbs cholesterol, and changes the way fat is processed in the body.




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Is berberine safe?

Just because berberine is sold over the counter, doesn’t mean it’s safe. It can have side effects and interfere with other drugs you may be taking.

Common side effects include diarrhoea, constipation, gas and an upset stomach. Large quantities may be fatal.

Berberine is not recommended for people who are pregnant as it is thought it can cross the placenta and may harm the fetus. It may also stimulate contractions of the uterus, which can inappropriately trigger birth. Because it can be transferred to breast milk it is not appropriate if breastfeeding.

Berberine can also interact with many other drugs and supplements. These include the immune-system drug ciclosporin, cough suppressants like dextromethorphan, and herbal remedies and medicines used to lower blood pressure, lower blood sugar levels, reduce blood clotting, and help with relaxation and sleep.




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So what to do?

If you are obese or overweight and are having trouble losing weight through diet and exercise alone then berberine may be of some help.

However, before buying berberine, discuss it with your doctor or pharmacist to see if it will be safe for you, or if other medications might be more appropriate.


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25/Feb/2025

Chamomile – that yellow flower so often made into a tea, enjoyed before bed – is a very interesting plant. It was recently discovered that the humble flower may control or even prevent diabetes – and now my research into historical textile dyes has helped to identify the specific compounds involved. That bedtime herbal tea may be doing many people a lot of good.

I’ve been working with Chris Rayner for over 15 years to develop new techniques to identify the chemistry of natural colourants used throughout history to dye textiles. Before William Perkin’s serendipitous 1856 discovery of mauveine, the first synthetic dye, textile fibres were dyed with coloured extracts of plants and animals.

Nature makes a complex cocktail of different compounds in these dye plants, and many of these are transferred to textiles during dyeing. We analyse historical artefacts to see if these compounds are present to try to determine when, where and how they were dyed and with what plant. The chemistry and ratio of these molecules can provide significant information about which plant species was used to dye the fibres or the technique used for the dye process. In the context of historical textiles, this information is of paramount importance for conservation and restoration purposes, as well as the generation of information on the ethnographic origins of the artefacts.

Dyeing wool cloth, 1482.
British Library Royal MS 15.E.iii, folio 269

So what does this have to do with diabetes? Well, many of the techniques that have been used to extract the dyes from textile samples cause damage to the dye molecule, resulting in a loss of information about the chemical fingerprint potentially available to conservators. But we have developed new “soft” extraction methods using glucose, which can preserve the dye molecule during extraction and analysis, and have used these new techniques to investigate dyes that were commonly used prior to the mid-19th century.

One such plant used throughout history was chamomile, which gives a bright yellow colour on wool, cotton and other natural fibres. There is evidence of its use in Europe and Asia to dye textiles dating back many hundreds of years. We identified the colourants and other natural components present in several species of chamomile in our attempts to understand their coloration properties and their identification in historical textiles, in the process significantly developing our knowledge of their complex chemistry.

This would have been interesting from a pure conservation and dye chemistry perspective. But then members of our team had a chat with another research group, led by Professor Gary Williamson in the School of Food Science and Nutrition, and it became apparent that we had a mutual interest in the chemistry of chamomile.

As a food, most people will be familiar with chamomile’s use as a herbal tea, often associated with aiding sleep. Indeed recognition of its medicinal properties as a relaxant and sedative is exemplified by its listing as an official drug in the pharmacopoeias of 26 countries, including the UK. But we didn’t realise that it potentially has other dietary benefits. German chamomile has been taken for digestive problems since at least the first century CE.

German chamomile.
JSOBHATIS16899/Shutterstock.com

This team has spent the last few years studying the link between dietary components and carbohydrate digestion: specifically, how certain natural compounds can help to control blood glucose levels. They had screened several plant extracts and identified German chamomile (Matricaria chamomilla) as very effective in controlling diabetes in 2017. But what was really important was to understand which compounds in particular were responsible for this activity. We wondered if our research on natural dyes in chamomile could help with this.

We applied the techniques that we had developed for extraction of historical textiles to extraction and analysis of chamomile flowers. Working together, we identified four specific compounds that are active in chamomile and able to control carbohydrate digestion, drawing on our experience of dyestuff analysis.

Two of these compounds, apigenin-7-O-glucoside and apigenin, are yellow colourants that we had previously seen in wool textiles dyed with chamomile. The other two compounds had been previously misidentified by other researchers, but we correctly identified them as (Z) and (E)−2-hydroxy-4-methoxycinnamic acid glucosides. We studied the contribution of these four compounds to the overall bioactivity of chamomile, and found that, taken together, they were able to modulate carbohydrate digestion and absorption. There is also the potential to extract and concentrate these components from chamomile for medicinal application.

Chamomile chemical structures.
Richard Blackburn, Author provided

So simply put, drinking chamomile tea may be helpful in controlling or even preventing diabetes. And excitingly, it seems that understanding the chemistry of plant dyes in common use prior to the mid-19th century could unlock new treatments for modern day medicine.


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