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Yes, berberine can be taken alongside metformin under medical supervision

10.1016/S1546-5098(11)31006-0 8 BootaM

[,,] Although the relationship between NAFLD and psoriasis depicts a hepato-dermal axis, however, it is controversial whether systemic inflammation of psoriasis contributes to NAFLD, or if the comorbid diseases such as obesity enhances NAFLD development [] [Figure 12a]