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Milk Thistle (Silymarin)

Milk Thistle is a hepatoprotective supplement that helps stabilize liver cell membranes & stimulate liver protein synthesis, beneficial for individuals with liver conditions such as alcoholic liver disease & nonalcoholic fatty liver disease (NAFLD).

liver-healthantioxidantdetoxificationanti-inflammatory

Evidence last reviewed: 05 Apr 2026

Bottom line

Milk Thistle is a supplement that supports liver health, particularly for those with liver conditions. While evidence shows potential benefits, more research is needed for definitive conclusions.

Summarized study outcomes with population, design, grade, and effect data.

5 recordsBest grade:Moderate
Liver histology improvementReduction in oxidative stressLiver fibrosis reductionImprovement in insulin sensitivityLiver enzyme reduction

The evidence suggests that Milk Thistle may improve liver function and insulin sensitivity, particularly in individuals with liver conditions like NAFLD. However, the strength of the evidence varies, and further studies are needed to confirm these benefits.

Biomarkers studied
Metabolic
Insulin Sensitivity
Inflammation
Oxidative Stress (MDA)
Bloodwork
ALT / AST (Liver)
Liver histology improvement
Patients with NAFLD · RCT
Moderate

Silymarin improved liver histology in NAFLD patients, though further research is needed.

Dose: 420 mg
Reduction in oxidative stress
General population · Systematic review
Low

Silymarin exhibits antioxidant properties that may reduce oxidative stress.

Dose: 420 mg
Based on preclinical data & historical use.
Liver fibrosis reduction
Patients with NASH · RCT
Moderate

Silymarin reduced liver fibrosis in patients with NASH, although not significantly more than placebo for NAS score reduction.

Dose: 2100 mgDuration: 48 weeks
Study focused on fibrosis reduction rather than NAS score.
Improvement in insulin sensitivity
Patients with insulin resistance · Systematic review
Moderate
Liver enzyme reduction
Patients with NAFLD · Systematic review
Moderate

Silymarin significantly reduced liver enzymes ALT & AST, indicating improved liver function.

Dose: 420 mg

Stacks containing Milk Thistle (Silymarin)

Public community stacks that include this ingredient.

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liver-healthdetoxificationantioxidant

Combining Artichoke Extract with Milk Thistle can support liver health and detoxification. Artichoke Extract promotes bile production, while Milk Thistle is known for its hepatoprotective and antioxidant properties.

Artichoke Leaf Extract
320mg
Milk Thistle (Silymarin)
500mg
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liverdetoxificationantioxidant

Milk thistle & calcium d-glucarate are combined to support liver detoxification & protection. Milk thistle is known for its hepatoprotective properties, while calcium d-glucarate aids in detoxification processes.

Milk Thistle (Silymarin)
420mg
Calcium D-Glucarate
500mg
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