Gymnema sylvestre -- often simply called gymnema -- is a plant native to India. The extract derived from the leaves and stems of Gymnema sylvestre may impart health benefits when used medicinally. In traditional Ayurvedic medicine, this supplement has typically be used to regulate blood sugar in people with diabetes. Before using this supplement, talk with your medical provider about the side effects of Gymnema sylvestre.
Hypoglycemia
When used as directed, Gymnema sylvestre supplements typically do not cause side effects. Prolonged or excessive treatment with this supplement may cause hypoglycemia -- a side effect characterized by unusually low blood sugar. Symptoms of hypoglycemia include hunger, blurred vision, confusion, anxiety, heart palpitations and body tremors. Infrequently, low blood sugar levels may also induce seizures or loss of consciousness. If you experience any of these side effects after taking a dose of Gymnema sylvestre, consult your primary health care provider for further evaluation and care.
Drug Interactions
Let your physician know if you are taking any other medications before you begin treatment with Gymnema sylvestre. Avoid use of this supplement with insulin or medications for diabetes. In conjunction, such treatments may increase your risk of developing hypoglycemia.
Contraindications
Inform your medical provider of any health problems or concerns you may have before taking this natural supplement. Women who are pregnant or nursing should not take Gymnema sylvestre, as the safety of this supplement has not been evaluated in pregnant women. If you have diabetes, do not use Gymnema sylvestre without first consulting your doctor.
Proper Dosage
The amount of Gymnema sylvestre you take daily should be determined by your doctor. Depending upon your health status, your doctor may recommend daily treatment with 2 to 4 g of Gymnema sylvestre leaf powder, according to the University of Michigan Health System.



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