Z-guggulsterone and E-guggulsterone are plant sterols that: (1) activate farnesoid X receptor (FXR) antagonism — modulating bile acid metabolism and cholesterol excretion; (2) activate PXR — inducing CYP3A4 and drug metabolism (this is the drug interaction mechanism); (3) stimulate thyroid by increasing 5'-deiodinase activity (T4→T3 conversion); (4) reduce NF-κB activation — anti-inflammatory; (5) inhibit sebaceous gland lipogenesis — anti-acne mechanism. The PXR activation explains both the diet-dependent lipid effects (PXR regulates lipid metabolism differently in different dietary contexts) and the drug interactions.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.