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An umbrella meta-analysis published in Clinical Therapeutics in 2023, which analyzed 11 prior meta-analyses of randomized controlled trials, confirmed that berberine supplementation was effective in reducing fasting blood glucose, HbA1c, HOMA-IR (a marker of insulin resistance), fasting insulin levels, and inflammatory biomarkers including CRP, TNF-alpha, and IL-6

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Cyclic AMP-Rap1A signaling activates RhoA to induce (2c)-adrenoceptor translocation to the cell surface of microvascular smooth muscle cells

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