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Dark or black pigmented lesions can be focal, multifocal or diffuse macules, including entities such as racial pigmentation, melanotic macule, melanocytic nevus, blue nevus, smokers melanosis, oral melanoacanthoma, pigmentation by foreign bodies or induced by drugs, Peutz-Jeghers syndrome, Addisons disease and oral melanoma

Some mild nausea may occur, particularly in the first week of each dose increase

But she is unsure if her employer will keep covering the medicine next year

Michael Weintraub, an obesity medicine specialist at NYU Langone, told Insider that this makes the cheap, generic diabetes drug metformin a more apt comparison for berberine

doi: 10.1093/jn/127.12.2274 251 SchuschkeD