I am posting again about TUDCA, as out all of the possible treatments, I have the most faith in it.
This study: sci-hub.hkvisa.net/10.1007/...
It talks specifically about ALD.
In order to help those without a science background understand it better, I have used ChatGPT to summarize the study, and then to rewrite it so that one without a science background can understand it easier. The following is the simpler summary of the study:
"The paper is about a disease called X-linked adrenoleukodystrophy (X-ALD), which is a rare and serious condition that affects the nervous system and the adrenal glands. People with this disease have a problem with breaking down certain types of fats, which then build up and cause damage, especially to the brain and nerves.
Scientists in this study are looking at a particular process in the cells called the unfolded protein response (UPR). Normally, the UPR helps cells deal with stress by fixing or getting rid of proteins that aren't folded properly (proteins need to be folded into the right shape to work correctly). But in some diseases, like X-ALD, this process doesn't work right and can actually cause harm.
The researchers found that in X-ALD, this UPR process is turned on too much, which can lead to more problems, like nerve damage. They also discovered that a substance called tauroursodeoxycholic acid (TUDCA), which is a kind of bile acid (a component of bile, which helps digest fats), can help calm down this overactive UPR. In mice that have a disease similar to X-ALD, TUDCA helped protect the nerves and improved movement problems.
So, the big takeaway is that TUDCA might be a helpful treatment for people with X-ALD because it can help stop the damage caused by the UPR being too active. This is a big deal because there aren't many treatments for this disease right now."