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GLP-1 Alternatives

The growing popularity of GLP-1 receptor agonists like semaglutide and liraglutide has brought attention to their benefits for managing type 2 diabetes and promoting weight loss. However, for individuals seeking natural or supplemental options to address insulin resistance and support metabolic health, there are promising alternatives. In this article, we will review evidence-based strategies to promote GLP-1 production, such as supplementing with berberine and N-acetyl-cysteine (NAC), increasing fiber intake, and supporting the gut microbiome.

Berberine 


Berberine, a bioactive compound extracted from plants like Berberis, has gained recognition as a natural alternative to GLP-1 medications. Clinical studies show that berberine can help lower blood sugar levels, improve insulin sensitivity, and support weight management.

Research has shown that berberine activates AMP-activated protein kinase (AMPK), a critical enzyme involved in energy metabolism, much like GLP-1 medications (1). By improving insulin signaling and reducing glucose production in the liver, berberine mimics some effects of GLP-1 receptor agonists without requiring a prescription. In addition to its blood sugar-lowering effects, berberine may also help regulate appetite, making it a potential aid for weight loss. For those exploring natural GLP-1 alternatives, berberine offers a powerful and well-researched option.

Related Article: Berberine vs. Metformin

Root Metabolism Support combines berberine and alpha-lipoic acid (ALA), a powerful duo for metabolic health. Together, berberine and ALA help activate adenosine mono-phosphate kinase (AMPK), often referred to as the "master metabolic switch." Activation of AMPK can enhance metabolism, improve insulin sensitivity, and support mitochondrial function.

Suggested starting dosage for Berberine: Around 1g/day.  
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Fiber 


Dietary fiber, especially soluble fiber, plays a key role in boosting natural GLP-1 production. When fermentable fiber reaches the colon, it’s broken down by gut bacteria into short-chain fatty acids (SCFAs) like acetate, propionate, and butyrate. These SCFAs activate special receptors in the gut (FFAR2 and FFAR3), stimulating GLP-1 release. Propionate, in particular, is especially effective (2). Increasing fiber intake can help enhance GLP-1 levels, improve blood sugar balance, and keep you feeling fuller for longer, supporting overall metabolic health.

Food Sources 

Good sources of soluble fiber include oats, chia seeds, flaxseeds, psyllium husk, beans, broccoli, Brussels sprouts, and sweet potatoes.  Incorporating these foods into your diet can help naturally boost GLP-1 levels, curb hunger, and support metabolic health. For those looking for GLP-1 alternatives, simply increasing dietary fiber intake can provide significant benefits.

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N-Acetyl-Cysteine (NAC)


N-acetyl-cysteine (NAC) is a powerful antioxidant that helps manage insulin resistance, a key factor in conditions like type 2 diabetes, metabolic syndrome (MetS), and PCOS. 

NAC works by boosting glutathione, an essential antioxidant, to reduce oxidative stress and inflammation. 

A 12-week randomized clinical trial in individuals with MetS found that 1800 mg/day of NAC significantly improved fasting blood sugar, insulin levels, and insulin resistance compared to a placebo. The study also showed increased HDL-cholesterol and reduced C-reactive protein, highlighting its anti-inflammatory and metabolic benefits (3).

In addition to improving insulin sensitivity, NAC supports liver health and detoxification, which are critical for metabolic function. It also strengthens the body's antioxidant defenses to protect cells from damage

Dosing of NAC: To achieve these benefits, we recommend 900 mg of NAC twice daily, for a total of 1800 mg per day.

NAC

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Cultivate a Healthy Gut Environment


The gut microbiome plays a pivotal role in producing GLP-1, as well as other hormones involved in blood sugar regulation and appetite control. Certain beneficial bacteria, such as Akkermansia muciniphila and Bacteroides thetaiotaomicron, are known to promote GLP-1 secretion.

To support these GLP-1-producing bacteria, focus on consuming prebiotic-rich foods like onions, garlic, bananas, and asparagus, as well as fermented foods such as yogurt, kimchi, and sauerkraut. While no foods contain Akkermansia itself, you can promote its growth through your diet. Related Article: Akkermansia Foods.

A sustainable and effective approach to supporting a healthy gut involves focusing on fiber, dietary variety, and colorful foods—think "eating the rainbow." When you do these things consistently, you are supporting natural GLP-1 production and reducing inflammation, which improves overall metabolic health. To get started, download our 30 plants per week tracker below.  


Get started with our Free 30 plants Per Week Tracker


Every time you choose to incorporate a plant into your meal, your gut reaps the benefits. This simple yet valuable tracking sheet allows you to establish a baseline of your plant intake so you can set goals and work towards consuming 30 plants per week over the course of a month.

Combining Strategies for Maximum Impact


For individuals looking to explore GLP-1 alternatives, combining these evidence-based strategies can provide synergistic benefits:

  • Incorporate Berberine: Use this plant-based compound to support blood sugar regulation and mimic the effects of GLP-1 medications. Suggested starting dosage: 1g per day.  
  • Increase Soluble Fiber Intake: Add fiber-rich foods like oats, chia seeds, broccoli, sweet potatoes, and legumes to stimulate natural GLP-1 secretion.  Aim for an absolute minimum of 25g of fiber per day to start, working up to 35-40 grams per day.  
  • Supplement with NAC: Address insulin resistance and oxidative stress to improve metabolic health. Suggested starting dosage: 1800mg/day.
  • Support the Gut Microbiome: Prioritize prebiotic and probiotic foods to cultivate beneficial bacteria that promote GLP-1 production.

By addressing the root causes of metabolic dysfunction and supporting the body’s natural mechanisms, these strategies offer a holistic and effective approach to improving metabolic health without relying on prescription GLP-1 medications.

Summary


While GLP-1 receptor agonists have transformed the landscape of diabetes and weight management, natural alternatives like berberine, soluble fiber, NAC, and microbiome support provide viable options for those seeking holistic solutions. These approaches not only promote GLP-1 production but also address the underlying factors contributing to insulin resistance and metabolic imbalance.


If you’re considering these alternatives, consult your healthcare practitioner. Root Functional Medicine doctors & dietitians also help with this in the Root membership.  With the right combination of dietary changes, supplementation, and lifestyle adjustments, you can take meaningful steps toward better metabolic health and overall well-being

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