Turmeric
Heaviest in the blend
First in the printed order. NCCIH says conventionally formulated turmeric is likely safe for up to two or three months, and that curcumin is poorly absorbed without piperine. There is no piperine on this panel.
Cocoa bean extract
No established dose here
Second by weight. Cocoa flavanols have cardiovascular literature at doses far above anything a 528 mg thirteen-way blend could carry, and nothing tying them to blood sugar.
Berberine HCL
The one to ask about
Third by weight and the ingredient with the most serious interaction profile. Human studies found repeated oral berberine significantly decreased CYP2D6, 2C9 and 3A4 activity — three enzymes that clear a great many prescription medicines.
Gymnema leaf
Studied for blood sugar
Traditional use for blood sugar, with limited modern trial evidence. Like most of this blend, its amount is not published, so no study dose can be compared against it.
Cinnamon cassia bark
Coumarin, and a liver note
Cassia is the coumarin-containing cinnamon. NCCIH notes interactions between coumarin and the liver have been reported, that some cassia products contain high levels, and that prolonged use could be an issue for people with liver disease.
Olive leaf extract
No established dose here
Oleuropein has cardiovascular and metabolic literature. Sixth of thirteen inside an undisclosed blend, so the ceiling is 88 mg and the real figure is unknown.
Eleuthero root
Adaptogen, not a glucose herb
Sometimes called Siberian ginseng. Studied mainly for fatigue and performance rather than blood sugar, and included here without explanation.
Juniper berry
No established dose here
Traditional use as a diuretic and digestive bitter. No modern evidence base for blood glucose that we could find, and no amount published.
Pine bark extract
No established dose here
Maritime pine bark proanthocyanidins have circulation literature. Ninth of thirteen, so its arithmetic ceiling is 59 mg.
Bitter melon fruit
Studied for blood sugar
One of the most-studied traditional blood sugar plants, and NCCIH lists it among supplements studied for diabetes without making an effectiveness claim for it.
Banaba leaf extract
Studied for blood sugar
Corosolic acid is the compound of interest and it is studied for glucose uptake. Eleventh of thirteen, so its ceiling is 48 mg.
Butcher’s broom root
No established dose here
A circulation herb, normally sold for vein and leg symptoms. Twelfth of thirteen and the least explicable inclusion on a glucose label.
Guggul resin
Lightest in the blend
Last in the printed order, so the smallest weight of all thirteen. Its ceiling is 41 mg and the real amount will be at or under that.