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Silymarin (Liver Dose)

Standardized silybin-rich extract for liver disease.

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Overview

Standardized silybin-rich extract for liver disease.

Natural sources
  • Whole dried plant material (root, leaf, flower, or aerial parts depending on the species)
  • Standardized hydroethanolic or aqueous extract (capsule, tincture, or tea)
  • Powdered traditional preparation used in Ayurvedic, TCM, or Western herbal practice
Common forms
  • Standardized extract capsule
  • Liquid tincture (alcohol or glycerin)
  • Powdered whole herb
  • Traditional decoction or tea

Forms & variants of Milk Thistle

Different chemical forms of Milk Thistle behave differently. Browse each form's mechanism, bioavailability, and best-use context.

Mechanism of action

Antioxidant, anti-fibrotic and membrane-stabilizing on hepatocytes.

Pathways
  • · Antioxidant, anti-fibrotic
  • · membrane-stabilizing on hepatocytes

Effects on the body

Decreases
ALT in NAFLD

Organ system effects

Liver

Silymarin (Liver Dose) supports hepatocyte antioxidant defenses (glutathione, Nrf2) and phase-I/II detoxification.

Evidence-based benefits

Lowers ALT in NAFLD

Moderate evidence

Potential side effects

Common
  • · GI upset
Rare
    Serious

      Drug interactions

      Prescription medications (general)
      Always disclose Silymarin (Liver Dose) use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
      minor

      Safety & non-supplemental interactions

      Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.

      Avoid if you are
      • ·Pregnant or breastfeeding (insufficient safety data)
      • ·Children under 18 (unless directed by a clinician)

      Supplement interactions

      Pairs well with
      • Milk thistle (silymarin)
        Complementary hepatoprotective antioxidant pathways.
      • NAC
        Restores hepatic glutathione.
      Avoid combining with

      No specific avoidances listed.

      Dosing & bioavailability

      Typical dose
      420 mg silymarin/day
      Best form
      Most evidence is based on the standardized extract capsule form.
      Timing
      Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
      With food?
      With meals

      Where to buy

      Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

      Scientific evidence8Show studies
      RCTClin Gastroenterol Hepatol · 2017

      Silymarin in NAFLD

      Wah Kheong C, et al.

      48-week DB-RCT in 99 NASH patients.

      Key findings

      Improved fibrosis score on liver biopsy vs placebo.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Silymarin (Liver Dose) — Lowers ALT in NAFLD

      Live PubMed search

      Live results for "Silymarin (Liver Dose) Lowers ALT in NAFLD" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Silymarin (Liver Dose) and "Lowers ALT in NAFLD". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Silymarin (Liver Dose) — randomized controlled trial

      Live PubMed search

      Live results for "Silymarin (Liver Dose) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Silymarin (Liver Dose) and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Silymarin (Liver Dose) — meta-analysis

      Live PubMed search

      Live results for "Silymarin (Liver Dose) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Silymarin (Liver Dose) and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Silymarin (Liver Dose) — pharmacokinetics

      Live PubMed search

      Live results for "Silymarin (Liver Dose) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Silymarin (Liver Dose) and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Silymarin (Liver Dose) — safety adverse events

      Live PubMed search

      Live results for "Silymarin (Liver Dose) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Silymarin (Liver Dose) and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Silymarin (Liver Dose) — dose response

      Live PubMed search

      Live results for "Silymarin (Liver Dose) dose response" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Silymarin (Liver Dose) and "dose response". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewGoogle Scholar · 1970

      Google Scholar: Silymarin (Liver Dose) — clinical evidence

      Live Scholar search

      Cross-database citation index for Silymarin (Liver Dose) as it relates to "clinical evidence".

      Key findings

      Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

      Open study
      Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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