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Herbal Extract

Silymarin (Milk Thistle Extract)

Also known as: milk thistle extract, silybum marianum, silymarin complex, silibinin

B
Evidence

Silymarin is a standardized extract from milk thistle seeds containing flavonolignans with hepatoprotective and antioxidant properties. Well-established traditional use supported by clinical research for liver health and function.

Primary uses

  • Liver health and detoxification support
  • Hepatic function and liver enzyme regulation
  • Antioxidant protection
  • Lipid profile support
  • General metabolic health

How it works

  • Antioxidant and free-radical scavenging
  • Hepatocyte membrane stabilization
  • Glutathione synthesis enhancement and restoration
  • Anti-inflammatory and anti-fibrotic effects
  • Cytochrome P450 modulation

Dosage

Typical range
140–300 mg silymarin daily (often 70–150 mg per dose, 2–3 times daily)
Timing
With or without food; often taken before meals or with meals
With food
Can be taken with or without food; absorption slightly improved with fat
Duration
Benefits typically accumulate over 8–12 weeks; safe for long-term use (months to years)
Special populations
Generally safe in pregnancy and lactation at recommended doses (consult provider). Safe for children at appropriate doses. Renally impaired may benefit from lower doses.

Forms

  • Seed extract (98% silymarin standardization)· 70/100

Safety

Common side effects

  • Mild gastrointestinal upset (rare)
  • Allergic reactions (rare; caution in ragweed/thistle allergies)
  • Laxative effect (mild, dose-dependent)

Contraindications

  • Ragweed, daisy, or thistle family allergies
  • Severe liver cirrhosis (caution; consult provider)
  • Concurrent use with certain immunosuppressive medications

Evidence notes

Substantial clinical evidence for liver support and toxin defense; multiple RCTs support safety and efficacy. Gold standard for herbal hepatoprotection, though effect sizes in early-stage fatty liver disease are moderate. Traditional use combined with modern research justifies B-grade.

Grade B: Some human trials support key claims; further confirmation needed.

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Medical disclaimer. This page is educational and does not replace advice from a qualified healthcare provider.