Interaction databaseSupplement × SupplementReviewed May 2026

Berberine and Fenugreek, a caution.

Additive glucose-lowering effect that can increase the risk of hypoglycemia, especially in people also taking antidiabetic medication.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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From the interaction database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Berberine and Fenugreek
Pair type
Caution
Evidence (highest tier)
Moderate
Source citations
1 source
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Caution · Moderate evidence

Caution

What is happening. Additive glucose-lowering effect that can increase the risk of hypoglycemia, especially in people also taking antidiabetic medication.

Mechanism. Fenugreek slows carbohydrate absorption and improves insulin sensitivity while berberine activates AMPK and reduces hepatic glucose output; the combined effect can lower blood glucose more than either alone.

Recommendation. Monitor blood glucose if combining, watch for hypoglycemia symptoms, and consult a clinician before stacking these with diabetes medications.

Sources (1)
  1. Neelakantan N et al. Effect of fenugreek (Trigonella foenum-graecum L.) intake on glycemia: a meta-analysis of clinical trials. Nutr J. 2014;13:7. PMID 24438170

Stack Score

How this pair moves the number.

Effect on the composite score

If both Berberine and Fenugreek are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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