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They're more of a supportive treatment
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In a six-month trial of patients with primary biliary cholangitis, daily doses of 500mg, 1000mg, or 1500mg of TUDCA shifted bile composition toward more hydrophilic bile acids, including higher UDCA levels a profile believed to be less toxic to liver cells.31 Overall, TUDCA has been shown to improve blood tests linked to bile buildup, but it hasnt yet been proven to prevent cirrhosis or improve long-term survival
It appears to work through multiple mechanisms: growth factors, nitric oxide, inflammation, and more
10.1164/rccm.200811-1757ST