Can TUDCA Cause Diarrhea? A Look at the Side Effects

Tauroursodeoxycholic Acid (TUDCA) is a water-soluble bile acid naturally produced in the body. It has gained attention as a dietary supplement for its health benefits, leading many to explore its potential side effects.

Understanding TUDCA and Its Primary Uses

TUDCA is a naturally occurring bile acid in the human body. Its primary role involves aiding in the digestion and absorption of fats and fat-soluble vitamins within the small intestine by emulsifying fats. People often take TUDCA as a supplement for liver support, promoting healthy bile flow and reducing stress on liver cells.

TUDCA and Diarrhea: The Connection

Diarrhea is a potential side effect of TUDCA supplementation, particularly when taken in higher doses or upon initial use. This digestive discomfort relates to TUDCA’s direct interaction with the digestive system. As a bile acid, TUDCA can increase bile flow into the intestines, which may accelerate gut motility and reduce the time available for water absorption. This increased fluid in the colon can lead to looser stools or diarrhea.

Some research suggests that bile acids, including TUDCA, can have an osmotic effect in the intestines, drawing more water into the bowel lumen. Furthermore, changes in the gut microbiome due to altered bile acid concentrations might also contribute to digestive upset. Individual responses to TUDCA can vary significantly, with some people experiencing no digestive issues while others report mild to moderate diarrhea, especially when exceeding typical dosages which might range from 250 mg to 500 mg daily. The body’s adaptation to the supplement can sometimes reduce these effects over time.

Managing Digestive Discomfort and When to Seek Medical Advice

If digestive discomfort, such as diarrhea, arises while taking TUDCA, several approaches may help manage the symptoms. Starting with a lower dose, perhaps half of the intended amount, allows the body to gradually adjust to the supplement. Taking TUDCA with food can also help mitigate gastrointestinal upset by slowing its absorption and distribution within the digestive tract. Maintaining adequate hydration by drinking plenty of water or electrolyte solutions is important to counteract fluid loss from diarrhea.

Monitoring the frequency and severity of symptoms is advisable to determine if the discomfort subsides or worsens. If diarrhea becomes severe, persistent, or is accompanied by other concerning symptoms, seeking medical advice is recommended. Signs such as significant abdominal pain, fever, signs of dehydration like reduced urination or excessive thirst, or the presence of blood in the stool warrant immediate professional medical evaluation. These symptoms could indicate a more serious underlying issue or an adverse reaction requiring medical intervention.

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