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Choosing lactose-free milk, Greek yogurt (which has less lactose), or aged cheeses (which contain minimal lactose) reduces this risk

There were 2087 reports (14.38%) of AEs occurring in patients aged 6069 years accounting for the largest proportion of patients

Common side effects include gastrointestinal symptoms, with berberine potentially interacting with diabetes medications and drugs metabolised by CYP enzymes

CrossRef From Classic to Contemporary, Evolving Therapies in Diabetic Kidney Disease: The Point of View of the Nephrologist and the Diabetologist Micaela Gentile, Marta DAngelo, Maria Rosaria Var, Andrea Mario Bolla, Maurizio Bianco, Roberto Scarpioni Diabetology.2025