StayCurious Metabolism

StayCurious Metabolism

How TUDCA Shifts the Inflammatory Landscape of Heart Disease

The bile acid and popular supplement, TUDCA, has the potential to reduce atherosclerosis — the buildup of fatty plaques in arteries. Let's break down the data

Nick Norwitz MD PhD's avatar
Nick Norwitz MD PhD
Jan 08, 2026
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The bile acid TUDCA has the potential to reduce atherosclerosis — the buildup of fatty plaques in arteries.

And it appears to do so not by lowering cholesterol, but by altering the inflammatory pathways that drive plaque formation in the first place.

First, let me be candid: I struggled with how to ‘unfold’ this scientific story for you (that nerd-joke will make sense momentarily).

The study we’re going to explore is dense — filled with jargon, acronyms, and molecular pathways.

And while I respect your intelligence, I also know that most people are naturally repulsed by a firehose of: PERK/eIF2a/ATF4 axis, scRNA-seq, MCC950, endoplasmic reticulum (ER) stress, t-distributed stochastic neighbor embedding, ATF4-AIM2 promoter binding… blah, blah… jargon, jargon.

So, let’s start with the big picture:

Below, you’ll see an image from a study in which animals were fed a high-fat, high-sugar diet designed to induce atherosclerosis.

But one group received the supplement and bile acid in question, TUDCA.

The difference is clear: Dramatically reduced plaque with TUDCA supplementation.

A comparison of a high-sugar diet

AI-generated content may be incorrect.

The rest of this letter is about understanding how TUDCA works — and translating the science into the practical: what it means for your heart.

Premium subscribers get full access to my deep dives into cutting-edge metabolic research for less than $1/letter, 3 per week. You’ll always walk away with at least one new insight about metabolic health.

In this StayCurious Metabolism Premium letter, we dive deep into the mechanisms by which TUDCA may protect against atherosclerosis.

  • We explore both animal studies and data from human artery samples

  • We’ll discuss an interesting irony and metabolic intersection with statins

  • The, we get practical, with guidance on supplementation protocols and sourcing.

If you’ve been curious about why StayCurious Metabolism is a Top 3 Bestseller in Science — and why readers call it “the best investment I’ve made in my health” — now is as good a time as any to find out.

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