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Compound

TUDCA

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TUDCA. Bile acid with hepatoprotective effects and ER stress reduction.

How it works. Reduces ER stress and apoptosis; protects hepatocytes; mild bile salt.

What the research supports. 2 graded claims. Strongest: Improves LFTs in cholestasis (moderate).

How much to take. Typical dose: 250–500 mg/d (general); up to 1500 mg therapeutic.

Side effects and interactions. 1 medication interaction listed. No serious side effects listed at normal doses.

Stacking. Pairs well with Milk thistle (silymarin), NAC, NAD+ precursor (NMN or NR).

Common forms. Available as TUDCA capsule.

Key studies. 9 studies cited. The strongest are listed with links to PubMed.

Community. Experiences from people who have tried TUDCA. Anecdotes are not medical advice.

TUDCA. Bile acid with hepatoprotective effects and ER stress reduction.

Molecular structureC26H45NO6S · 499.7 g/mol

What it is

Bile acid with hepatoprotective effects and ER stress reduction.

Also called

Tauroursodeoxycholic acid

Food sources

Trace in bear bile (traditional)

Goals

How it works

Reduces ER stress and apoptosis; protects hepatocytes; mild bile salt.

Pathways

  • ER stress reduction
  • Anti-apoptosis

Effects

  • +Hepatocyte survival supports
  • ↓ER stress decreases

What the research supports

Improves LFTs in cholestasismoderate
Used by AAS users for hepatoprotectionlimited

Strong: consistent results across large trials or meta-analyses. Moderate: several trials, mostly positive. Limited: small or mixed studies. Preclinical: animal or cell research only.

Typical dose
250–500 mg/d (general); up to 1500 mg therapeutic
TimingConsistent daily timing recommended; split larger doses if GI tolerance is a concern.
With foodWith a meal containing fat for fat-soluble compounds; otherwise either.
Best formMost evidence is based on the tudca capsule form.
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Side effects & interactions

Common side effects

  • Diarrhea

Medication interactions

Aluminum antacidsminor

Reduce TUDCA absorption.

Check any supplement–medication combination with your pharmacist before starting.

Combines with

Pairs well

  • Milk thistle (silymarin)Complementary hepatoprotective antioxidant pathways.
  • NACRestores hepatic glutathione.
  • NAD+ precursor (NMN or NR)Complementary mitochondrial and sirtuin support.

Common forms

  • TUDCA capsule

Key studies

9 studies cited in total.

PubMed: TUDCA — Improves LFTs in cholestasis ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching TUDCA and "Improves LFTs in cholestasis". Filter by RCT, meta-analysis, or year on the results page.

PubMed: TUDCA — Used by AAS users for hepatoprotection ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching TUDCA and "Used by AAS users for hepatoprotection". Filter by RCT, meta-analysis, or year on the results page.

PubMed: TUDCA — randomized controlled trial ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching TUDCA and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

Discussion

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