From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Supplement
Last verified
June 4, 2026
SynergyEmerging evidence
What is happening. Berberine alters the gut microbiota and has been associated with shifts in short-chain fatty acid production, while supplemental butyrate provides a direct epithelial fuel source. Combining them in metabolic and gut-focused protocols is plausible and complementary.
Mechanism. Berberine-induced microbiome remodeling and butyrate's direct colonocyte and barrier support converge on intestinal and metabolic health endpoints.
Recommendation. Can be combined. Because berberine commonly causes GI upset, start low and separate dosing across the day if tolerance is an issue.
Stack Score
How it moves the number.
Effect on the composite score
If both Berberine and Sodium Butyrate are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Zhang X, et al. Modulation of gut microbiota by berberine and metformin during the treatment of high-fat diet-induced obesity in rats. Sci Rep. 2015.Needs sourceNo link