Berberine Evaluated for Liver Fat
Six-month randomized trial finds no reduction in visceral or hepatic fat in patients with obesity and MASLD
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By
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Jo Cavallo
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February 12, 2026
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1
Berberine did not reduce visceral adipose tissue or liver fat in patients with obesity and metabolic dysfunction-associated steatotic liver disease.
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The study involved 337 patients, randomly assigned to receive either 1 g of oral berberine daily or a placebo for 6 months.
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No significant differences were found between the berberine and placebo groups in primary outcomes after 6 months.
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4
Berberine was associated with reductions in low-density lipoprotein cholesterol and high-sensitivity C-reactive protein.
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The trial reported an excellent safety profile for berberine, with similar adverse event rates between treatment and placebo groups.