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Lianqu Qingshen Xiaoke granules (JX99) is an investigational Traditional Chinese Medicine (TCM) formulation developed for the treatment of metabolic syndrome. It is a multi-herb product comprising extracts from Coptidis Rhizoma, Aurantii Fructus Immaturus, Pinelliae Rhizoma, red yeast rice, Trichosanthis Fructus, and Cinnamomi Cortex. The formulation is designed to improve glucose and lipid metabolism and ameliorate insulin resistance. Its mechanism of action involves the activation of the AMP-activated protein kinase (AMPK) signaling pathway and the inhibition of 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR), the latter likely due to the presence of natural monacolins in the red yeast rice component. It is currently being evaluated in clinical studies for its efficacy in managing metabolic syndrome.
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