Berberine

Berberine has antibacterial, anti-inflammatory, and immune-enhancing properties. It’s effective against a wide range of bacteria, protozoa, and fungi. It can be used topically on cuts and other wounds, and it’s perhaps most commonly used to treat gastrointestinal issues, including traveler’s diarrhea and that from food poisoning.

This herb can be found in:

  • Chinese goldthread (Coptis trifolia)
  • barberry (Berberis vulgaris)
  • Oregon grape (Mahonia aquifolium)

It’s also found in roots, rhizomes, and the stem bark of these plants.

However, new research is showing that it has similar effect in controlling blood sugar at the same does metaformin (glucophage).

On top of this it appears that it helps lower cholesterol as well.

Berberine’s main mechanism is partly responsible for its anti-diabetic and anti-inflammatory effects. Berberine is able to activate an enzyme called Adenosine Monophosphate-Activated Protein Kinase (AMPK) while inhibiting Protein-Tyrosine Phosphatase 1B (PTP1B).

Research shows that taking 1500mg of berberine (500mg 3 times a day) is as good as taking metformin (500mg 3 times a day)

Dr Mercola has a nice article on this

A research paper on the comparison between Metformin and Berberine can be found here.

A recent study conducted at the Shandong University of Technology in China found that “berberine helps prevent oxidation damage to biomolecules in the brain, inhibits enzymes which breakdown important memory molecules, reduces peptides that interfere with proper memory function, and lowers lipids that interfere with cerebral blood flow.” It’s interaction with brain and mental health show that berberine may also be able to ward off Alzheimer’s disease.

Other studies show that it also improves bone density and preserves cartilage, protects against acute brain damage, reduce inflammation, and may reduce cancer cell spreading. Berberine should definitely be at the top of your supplement list if you have diabetes, cardiovascular concerns, cancer, immune challenges, intestinal infections, or just want an amazing overall health supplement!

Where can you get Berberine?

Currently I’ve tried two brands.

Thorne Research Berberine-500 (quite expensive)

Leaner Living : Glycosolve

Cholesterol Confusion

LDL is the one thing doctors always pay attention to when they do cholesterol blood test.

Too high and they shout you need statins.

The problem is when you are on a low carb diet like Atkins or Protein Power, after a while your triglycerides will be low while your high-density lipoprotein cholesterol (HDL) is high. The problem is LDL is expensive to measure in a laboratory, hence they generally calculate out this value using the Friedewald estimation.

ie, LDL-C (calc.) = CH − HDL − (TG/5)^2.

However this formula only works for triglycerides under 400mg/dl (4.52 mmol/l) and more importantly above 100mg/dl ( 1.13 mmol/l). When triglycerides are  above 400mg/dl, the labs generally warn in the report that it cannot be calculated. But then don’t warn if its below 100mg/dl.

The problem is that if you are on low carb diet for a while, your triglycerides will naturally fall below 100mg/dl. Then then abnormal LDL will be inflated by as much as 58%.

Hence the Cholesterol Confusion

For better estimates you would use the Iranian formula from this medical paper.

Or better ask for a direct LDL measurement

Do note that you can only use this formula if TG < 100mg/dl (1.13 mmol/l) AND TC > 250mg/dl (6.46mmol/L)

For mmol/L you would use

LDL (mmol/L) = TC/1.19 + TG/0.81 – HDL/1.1 – 0.98

For mg/dL

LDL (mg/dl) = TC/1.19 + TG/1.9 – HDL/1.1 – 38

If a doctor tries to press you to use Statins, please ask him to refer to the following articles

For the doctor:

Low Triglyceride Levels Affect Calculation of Low-Density Lipoprotein Cholesterol Values

The impact of low serum triglyceride on LDL-cholesterol estimation

The accuracy in using modified Friedewald equation to calculate LDL from non-fast triglyceride: a pilot study

For us layman:

Low-carbohydrate diets increase LDL: debunking the myth

Making Dr Friedewald an honest man