Unlike some medication classes with known musculoskeletal toxicity (such as fluoroquinolone antibiotics or statins), GLP-1-based medications do not have documented effects on muscle, bone, or connective tissue that would predictably result in back pain
Injectable better for systemic anti-inflammatory effects and internal healing
Beta-alanine carnosine is produced from it, which helps regulate muscle hyperacidity during exercise
SG and WZ supported, edited, and revised the work
10.1016/j.ejphar.2025.177547 105 KwonW
Berberine: The Centerpiece Ingredient Berberine is a bioactive alkaloid compound found in several plants, including goldenseal (Hydrastis canadensis), barberry (Berberis vulgaris), and Oregon grape (Mahonia aquifolium)