Herbal Extract
Silymarin (Milk Thistle Extract)
Also known as: milk thistle extract, silybum marianum, silymarin complex, silibinin
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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