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Wash with only mild, unscented soap and warm water if you seem prone to the problem

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Effects of dulaglutide on endothelial progenitor cells and arterial elasticity in patients with type 2 diabetes mellitus

However, these adverse effects have been described as mild, with PubMed researchers concluding that berberine is a safe medicinal plant. Furthermore, no serious side effects were reported from berberine use in a study involving 2,569 patients (33)