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Monitoring for complications, such as pyelonephritis, is critical, especially when new symptoms develop

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[13] After the final GSH product is made, it can be used by glutathione peroxidase to neutralize reactive oxygen species (ROS) such as H 2 O 2 or Glutathione S-transferases in the detoxification of xenobiotics

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[13] Important interactions may occur with: Diabetes medications (potentially causing hypoglycaemia) Anticoagulants like warfarin and direct oral anticoagulants (DOACs) Immunosuppressants such as ciclosporin and tacrolimus Certain statins and antiarrhythmic medications Antihypertensives and other cardiovascular drugs If you are taking any prescription medications, consult your GP or pharmacist before starting berberine