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Berberine in Neuro Recall: Side Effects, Medications and Dose

Written by the Neuro Recall editorial team · Last updated · 8 min read · Medical review below

Quick answerBerberine is a yellow plant compound studied mainly for blood sugar, not memory. It is 6th in the Neuro Recall blend, so a serving holds up to about 106 mg. It can interact with transplant drugs, diabetes medicines and many drugs cleared by the liver. Do not take it if you are pregnant or breastfeeding, and ask your doctor first if you take any prescription.

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Berberine at a glance

06 of 10
Position on the label
6 of 10 in the 635 mg blend
Amount per 2-capsule serving
Up to 105.8 mg
Doses used in studies
Studied mainly for blood sugar (MSKCC, Berberine)
Share of the studied dose
Not a memory ingredient
Also called
Berberine hydrochloride

The strip above shows where berberine sits on the Neuro Recall label and how it compares with research. It is the 6th of ten items in the blend. It is also the ingredient with the longest list of drug interactions, which is why this page spends most of its time on safety.

Background

What is berberine?

Berberine is a bitter, bright yellow compound made by several plants. Goldenseal, barberry, Oregon grape and goldthread all contain it. Chemists call it an alkaloid, the same broad family as caffeine.

The roots and bark of these plants have a long history in traditional Chinese and Ayurvedic practice. Modern supplements usually sell it as berberine HCl, a salt form that is easier to package in a capsule.

Today most berberine research looks at blood sugar and blood fats. That focus matters for anyone who already takes medicine for those conditions.

  • 6thof 10 in the blend
  • 106 mgthe most a serving can hold
  • HClsalt form on the label
Research focus

What is berberine studied for?

Mostly blood sugar. Memorial Sloan Kettering lists diabetes drugs among the medicines berberine can interact with (MSKCC, Berberine).

It is not a known memory ingredient. Our dose table lists it as studied mainly for blood sugar. The memory-focused parts of the formula are ginkgo biloba and bacopa monnieri, and both have their own pages.

So why would a brain formula include it? The label does not say. One guess is that the formula leans on a blood sugar theme, since chromium, alpha lipoic acid and cinnamon sit in the same capsule. We cannot confirm the maker's reason.

Label math

How much berberine is in Neuro Recall?

A 2-capsule serving holds up to about 106 mg. The label prints only the 635 mg total for the blend. Federal rules require blend items to be listed from heaviest to lightest, so the 6th item can weigh at most one sixth of the total.

The real amount could be lower. Nothing on the label sets a floor for berberine beyond the items listed after it.

Label-order limits read from the Supplement Facts panel. They are ceilings, not a measured amount.
QuestionAnswerWhy
Position on the label6th of 10 in the 635 mg blendHeaviest items are listed first (21 CFR 101.36)
Most it can weighAbout 105.8 mg (635 ÷ 6)Five heavier items sit above it
Least it can weighNot set by the labelIt only has to be at least as heavy as L-theanine below it
Exact amountNot printedThe maker has not published the blend split
FormBerberine HClThe hydrochloride salt used in most berberine products
Side effects

Berberine side effects: what to watch for

Our sources focus on interactions, not a list of common side effects. Still, note any stomach upset, gas or loose stools after you start. The magnesium oxide in Neuro Recall can also loosen stools, so watch your gut in the first two weeks.

The more serious risks come from how berberine works with medicines and with blood sugar. These four are the ones to know.

Stomach upset

Cramping, gas, constipation or loose stools. Stop and call your doctor if they last more than a few days.

Low blood sugar

Shakiness, sweating, hunger or sudden confusion. More likely if you take insulin or diabetes pills.

Drug interactions

Berberine can change how the body handles some prescriptions. Your pharmacist can check your list.

Pregnancy and nursing

Not advised. The label and Memorial Sloan Kettering both say to avoid it.

Interactions

Berberine and medications: which ones matter?

Several do. Memorial Sloan Kettering lists cyclosporine, tacrolimus, diabetes drugs and medicines cleared by liver enzymes (MSKCC, Berberine). The liver enzyme group is large. It covers many everyday prescriptions, so a quick check with your pharmacist is worth the call.

The table also covers two other interactions from the same Neuro Recall capsule. They are not caused by berberine, but you would take them together.

Interactions from the linked sources. This is not a complete list; your pharmacist has the full picture.
If you takeWhy it mattersWhat to do
Cyclosporine or tacrolimusBerberine can interact with these transplant drugs (MSKCC, Berberine)Do not start without your transplant team
Insulin, metformin or other diabetes pillsBlood sugar may drop further than expected (MSKCC, Berberine)Ask your doctor; check your sugar more often if approved
Drugs cleared by liver (CYP) enzymesBerberine can interact with these medicines (MSKCC, Berberine)Ask your pharmacist to run your full list
LevothyroxineThe chromium in the same capsule may cut its absorption (NIH ODS, Chromium)Ask about spacing the two apart
Blood thinners or aspirinNot a berberine issue, but ginkgo in the blend may raise bleeding risk (NCCIH, Ginkgo)Ask your doctor before starting

Your prescriptions come first

Never stop, skip or change a prescribed medicine because of a supplement. Bring the bottle to your doctor or pharmacist and let them read the label.

Blood sugar

Why the blood sugar overlap matters

Four items in one serving may lower blood sugar. Berberine is one. Chromium, alpha lipoic acid and cinnamon are the others. On their own each is small, but you take them together, every day.

For most people without diabetes this is unlikely to matter. For someone on insulin or diabetes pills, the effects may stack. Read more on the alpha lipoic acid and cinnamon bark entries.

Amounts per 2-capsule serving. Blend amounts are label-order limits.
IngredientAmount in Neuro RecallWhat the source saysSource
Chromium (picolinate)120 mcg, 343% DVMay cause low blood sugar with insulin or metformin(NIH ODS, Chromium)
Berberine HClUp to about 106 mgInteracts with diabetes drugs(MSKCC, Berberine)
Alpha lipoic acidUp to about 79 mgCan lower blood sugar and add to diabetes medicines(MSKCC, Alpha-lipoic acid)
Cinnamon bark extractAt least 63.5 mgNot clearly shown to help any condition; still on the ask-first list(NCCIH, Cinnamon)

Low blood sugar can look like a memory problem. Sudden confusion, trouble focusing, shakiness or sweating are signs to check your sugar if you have a meter. Then call your doctor. If confusion comes with trouble speaking, numbness or weakness, call 911 (CDC, Stroke signs).

Pregnancy

Berberine in pregnancy and breastfeeding

Not for pregnancy or nursing

Do not take Neuro Recall if you are pregnant or nursing. The label says so, and Memorial Sloan Kettering advises avoiding berberine in pregnancy and while breastfeeding (MSKCC, Berberine).

If you are planning a pregnancy, stop and talk with your doctor about which supplements to keep.

The same rule covers the whole capsule, not just berberine. The who it is for page lists the other groups who should wait.

Ask first

Who should ask a doctor before taking berberine?

Talk to your doctor or pharmacist first if you are

  • Anyone who takes insulin, metformin or another diabetes medicine
  • Transplant patients on cyclosporine or tacrolimus
  • Anyone taking three or more prescriptions
  • People with liver disease
  • Anyone on levothyroxine or another thyroid medicine
  • Anyone on blood thinners or daily aspirin, or with surgery coming up
  • Anyone pregnant, nursing or planning a pregnancy

A good visit takes five minutes. Bring the bottle, your medicine list and any questions. The side effects page covers every ingredient in the formula, and how to use explains the daily routine.

Honest note

Honest note: a blood sugar compound in a memory formula

Berberine has a real research base, but for blood sugar, not recall. Neuro Recall holds a small, unknown share of it, at most about 106 mg. No trial has tested this formula, so we cannot tell you what berberine adds here.

What we can say: if you take diabetes or transplant medicine, this ingredient is the main reason to ask before you start. Our green tea extract page covers the other safety item in the blend.

FAQ

Berberine FAQ: questions people ask

What is berberine?

Berberine is a bitter, yellow compound found in plants such as goldenseal, barberry and goldthread. Supplements usually use the salt form berberine HCl, which is what the Neuro Recall label lists.

What are the side effects of berberine?

Our sources focus on drug interactions and blood sugar. Low blood sugar is the main concern for people on diabetes medicine. Stop and call your doctor if your stomach is upset or anything feels off.

What medications should not be taken with berberine?

Memorial Sloan Kettering lists cyclosporine, tacrolimus, diabetes drugs and medicines cleared by liver enzymes. Many common prescriptions fall in that last group, so ask your pharmacist to check yours.

Can I take berberine with metformin?

Only if your doctor agrees. Both lower blood sugar, and Neuro Recall also holds chromium, alpha lipoic acid and cinnamon, so the effects may add up.

How much berberine is in Neuro Recall?

Up to about 106 mg per 2-capsule serving. That ceiling comes from label order; the exact amount is not printed and may be lower.

Does berberine help memory?

No human trial we know of has shown that berberine helps memory. It is studied mainly for blood sugar, so treat it as a blood sugar ingredient, not a memory one.

Is berberine safe during pregnancy?

No. Memorial Sloan Kettering advises avoiding berberine in pregnancy and while breastfeeding, and the Neuro Recall label says not to use it if you are pregnant or nursing.

Is berberine hard on the liver?

Berberine affects liver enzymes that clear many drugs, which is why interactions matter. If you have liver disease or take several medicines, ask your doctor before any product that contains it.

Can berberine cause low blood sugar?

It can, mostly when paired with insulin or diabetes pills. Shakiness, sweating, hunger, a fast heartbeat or sudden confusion are signs to check your sugar and call your doctor.

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