View abstract. Thanks to the antioxidant content of milk thistle, the herb may actually help slow the aging process. Ann Mtg Digestive Disease Week 1999 May. View abstract. 2016;5147468. doi:10.1155/2016/5147468. View abstract. It's typically recommended to avoid taking multiple supplements for the same cause at the same time. 2015;22(2):290-6. doi:10.1016/j.phymed.2014.12.010. Pares A, Planas R, Torres M, et al. Velussi M, Cernigoi AM, De Monte A, et al. [A case of urticaria during Carsil treatment]. Di Pierro F, Bellone I, Rapacioli G, Putignano P. Clinical role of a fixed combination of standardized Berberis aristata and Silybum marianum extracts in diabetic and hypercholesterolemic patients intolerant to statins. 2011;9(1):1-6. The valuable antioxidants found in milk thistle have been reported in experimental and clinical studies to help decrease blood sugar levels in people with insulin resistance, so it may make sense to add it to a diabetic diet plan. 1996;62(5):187-193. 2015;43(9):1353-9. 2019. 2007;2007(4):CD003620. Learn more about natural remedies for type 2 diabetes. Cochrane.Database.Syst.Rev 2007;(4):CD003620. Can J Physiol Pharmacol 2007;85:966-78. - But you're feeling like crap because these toxins are getting reabsorbed and aren't actually leaving your body through your GI tract. This compound is highly concentrated in the plants seeds. Diabetes Metab Syndr Obes. Taking milk thistle might affect this enzyme and drugs it processes, such as diazepam (Valium), warfarin (Jantoven) and others. Iran J.Diabetes Lipid Disord. Milk thistle ( Silybum marianum) is a medicinal plant that belongs to a large family of flowering plants (Asteraceae). Milk thistle is a flowering herb native to Europe but also found in parts of the United States, Australia, Asia, Africa, and South America.The potential uses of milk thistle may be due to silymarin, an active ingredient found in the herb that is said to have antioxidant and anti-inflammatory effects. A randomized clinical pilot study. Some people have nausea, diarrhea, itching, and. Analysis and comparison of active constituents in commercial standardized silymarin extracts by liquid chromatography-electrospray ionization mass spectrometry. View abstract. Mirzaei N, Jahanian Sadatmahalleh S, Rouholamin S, Nasiri M. A randomized trial assessing the efficacy of Silymarin on endometrioma-related manifestations. View abstract. Mol Med Rep. 2016 Apr;13(4):3243-8. doi:10.3892/mmr.2016.4887. Cossiga V, Sanduzzi-Zamparelli M, Sapena V, et al. Available at: https://www.ahrq.gov/clinic/epcsums/milktsum.htm. Walsh JA, Jones H, Mallbris L, et al. J Clin Psychopharmacol. Effect of milk thistle (Silybum marianum) on the pharmacokinetics of irinotecan. Expert Rev Clin Pharmacol. Derosa G, Romano D, D'Angelo A, Maffioli P. Berberis aristata/Silybum marianum fixed combination (Berberol()) effects on lipid profile in dyslipidemic patients intolerant to statins at high dosages: a randomized, placebo-controlled, clinical trial. Marcelli R, Bizzoni P, Conte D, and et al. View abstract. Bioorg Med Chem Lett 2000;10:157-60. Combined therapy of silymarin and desferrioxamine in patients with beta-thalassemia major: a randomized double-blind clinical trial. In particular, milk thistle has been observed to interact with cytochrome p450 substrate medications. View abstract. 2020;31(3):256-60. Side effects are always possible when taking supplements. The liver plays a key role in maintaining health and protecting the body from the effects of toxins and other damaging substances. Keep in mind that supplement use should be individualized and vetted by a healthcare professional, such as a registered dietitian, pharmacist, or healthcare provider. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. This powerful plant is native to the Mediterranean, but is used around the world as a natural remedy for a wide variety of different ailments. 2nd ed. Look for a high-quality product thats between 50150 milligrams of pure milk thistle extract per capsule so you can adjust the amount you are taking depending on your needs. This is a somewhat high dose that can act as a natural liver detox. Liver health can impact your wellness and fitness goals. This is a somewhat high dose that can act as a natural liver detox. Can Taking 1000 mg of Milk Thistle Every Day be Considered Too Much? Moayedi B, Gharagozloo M, Esmaeil N, et al. Milk thistle: Effects on liver disease and cirrhosis and clinical adverse effects. Arzneimittelforschung. Mol.Pharm. There are no other food sources of this herb. Coadministration of milk thistle and indinavir in healthy subjects. Kazazis CE, Evangelopoulos AA, Kollas A, Vallianou NG. Foster S, Tyler VE. This might increase the effects and side effects of tamoxifen. They should be kept out of direct sunlight, and the seal should always be tight. The first recorded use dates back to Ancient Greece when the plant was used to treat poisonous snake bites. Before taking milk thistle, talk to your healthcare provider if you are taking tamoxifen. Interactions. Rotem C, Kaplan B. Phyto-Female Complex for the relief of hot flushes, night sweats and quality of sleep: randomized, controlled, double-blind pilot study. In some studies, silibinin, an active component of milk thistle, has been shown to have estrogen-like effects. Milk Thistle Has Anti-Aging Properties. View abstract. Nurse Drug Alert 1999;23(7):51. View abstract. Silymarin in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. All rights reserved. View abstract. Assessing the clinical significance of botanical supplementation on human cytochrome P450 3A activity: comparison of a milk thistle and black cohosh product to rifampin and clarithromycin. View abstract. Scientists became increasingly interested in milk thistle in the 1970s, particularly because of its antioxidant and hepatoprotective (liver protecting) qualities. Bunout D, Hirsch S, Petermann M. [Controlled study of the effect of silymarin on alcoholic liver disease.] The amount of active ingredients can vary widely depending on the different preparation methods used and the brand. Oxid Med Cell Longev 2022;2022:9199190. View abstract. Z Gastroenterol 2001;39(7):511-7. Have direct benefits against prostate, breast, and certain cervical cancer cells. Our collection of Milk Thistle supplements will help improve your liver health. View abstract. Milk thistle can trigger allergic reactions. Planta Med 1991;57(2):A124-A125. Effect of Silymarin as an Adjunct Therapy in Combination with Sofosbuvir and Ribavirin in Hepatitis C Patients: A Miniature Clinical Trial. Adverse reaction: milk thistle-associated toxicity. 2010 Mar; 332(3): 10811087. View abstract. Angiopreventive Efficacy of Pure Flavonolignans from Milk Thistle Extract against Prostate Cancer: Targeting VEGF-VEGFR Signaling. This herb contains active compounds called silymarin and silybin that the "Physicians' Desk Reference for Herbal Medicines" describes as hepatoprotective, meaning they protect the liver by blocking toxin-binding receptor sites in the cells of the organ's outer membrane 2.A review published in the "World Journal of Gastroenterology" in May 2011 finds that both silymarin . Loguercio C, Andreone P, Brisc C, et al. View abstract. Rambaldi, A., Jacobs, B. P., and Gluud, C. Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases. Eagon PK, Elm MS, Hunter DS, et al. are clickable links to these studies. Common side effects of milk thistle reported in studies include: Typically, side effects will subside once you stop using milk thistle. J.Reprod.Immunol. Am J Med 10-15-2002;113(6):506-515. Expert Rev Clin Pharmacol 2018;11(6):641-50. doi: 10.1080/17512433.2018.1473760. Silybin suppresses cell proliferation and induces apoptosis of multiple myeloma cells via the PI3K/Akt/mTOR signaling pathway, Effects and tolerance of silymarin (milk thistle) in chronic hepatitis C virus infection patients: a meta-analysis of randomized controlled trials, The Natural agonist of estrogen receptor silibinin plays an immunosuppressive role representing a potential therapeutic tool in rheumatoid arthritis, Safety and toxicity of silymarin, the major constituent of milk thistle extract: An updated review, Silybin and the liver: from basic research to clinical practice, Effect of curcumin supplementation on disease severity in patients with liver cirrhosis: a randomized controlled trial, Effects of vitamin E on chronic hepatitis C genotype 3: a randomized, double-blind, placebo-controlled study, Resveratrol for the management of diabetes and its downstream pathologies. J Clin Pharm Ther. 2010;16(6):642-645. (silymarin) extract supplementation on antioxidant status and hs-CRP in patients with type 2 diabetes mellitus: a randomized, triple-blind, placebo-controlled clinical trial. Phytomedicine. Int J STD AIDS. In all cases, be sure to speak with a doctor before taking milk thistle 1000 mg pills. View abstract. Effect of silymarin in the treatment of allergic rhinitis. Milk Thistle is used to treat alcoholic liver disease, gallbladder problems, hepatic cirrhosis, hepatitis (chronic), hepatotoxicity (chemical/drug-induced), jaundice, pleurisy, prostate cancer, and spleen diseases, and used as an appetite stimulant. This applies to both the surface of your skin and your organs, as antioxidants can protect your body from chronic disease. Although there is no standardized milk thistle dosage at this time, most people do best consuming between 20300 milligrams daily. People sometimes use milk thistle for hepatitis C, a viral infection of the liver. 2017;18(2). Zhang, J. Q., Mao, X. M., and Zhou, Y. P. [Effects of silybin on red blood cell sorbitol and nerve conduction velocity in diabetic patients]. Tiwari, P., Kumar, A., Balakrishnan, S., Kushwaha, H. S., and Mishra, K. P. Silibinin-induced apoptosis in MCF7 and T47D human breast carcinoma cells involves caspase-8 activation and mitochondrial pathway. Effect of Silymarin Administration on Cisplatin Nephrotoxicity: Report from A Pilot, Randomized, Double-Blinded, Placebo-Controlled Clinical Trial. 2004;3(2):201-206. Taking Milk thistle pills may help naturally balance cholesterol levels by decreasing so-called bad (LDL) cholesterol levels and increasing good (HDL) cholesterol levels. Katiyar, S. K., Korman, N. J., Mukhtar, H., and Agarwal, R. Protective effects of silymarin against photocarcinogenesis in a mouse skin model. Milk thistle is a natural herb with antioxidant and anti-inflammatory properties. Silymarin, a milk thistle element, is reported safe at doses of 700 milligrams three times a day for 24 weeks.It is possible to take too much, and liver toxicity has been observed in people with cancer taking silybin at very high doses (10 to 20 grams per day). J Diabetes Res. Life Sci 5-25-2001;69(1):75-86. Bioimpedance analysis, metabolic effects and safety of the association Berberis aristata/Bilybum marianum: a 52-week double-blind, placebo-controlled study in obese patients with type 2 diabetes. View abstract. It should be consumed with lots of water. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Milk thistle may not be safe for everyone. Milk thistle may interact with a number of prescription and over-the-counter medications. However, the review's authors warned that the quality of the studies was poor and that more research is needed before milk thistle should be recommended for use. Biol Pharm Bull 1994;17:443-5. Accessed Oct. 30, 2020. Although milk thistle may be helpful in hepatitis C, more research is needed to support these claims. View abstract. Studies on cancer cell lines (done in the laboratory) have found that elements in milk thistle: Researchers also are looking at how milk thistle might complement traditional care and treatment in people diagnosed with gastrointestinal cancers. Jiao Z, Shi XJ, Li ZD, et al. Gallstones are formed when cholesterol and other matter within your bile bind together. Some snack foods and store-bought packaged toddler foods are high in salt. El-Shitany NA, Hegazy S, El-Desoky K. Evidences for antiosteoporotic and selective estrogen receptor modulator activity of silymarin compared with ethinylestradiol in ovariectomized rats. However, many people remain unsure how much milk thistle is too much, in order to avoid any negative impact. View abstract. 2019. It could interact with many drugs, including some that treat high cholesterol, infections, insomnia, and blood pressure. Kalopitas G, Antza C, Doundoulakis I, et al. 1-11-2009;150(2):73-79. Kidney damage caused by contrast dyes (contrast induced nephropathy). Chalasani N, Younossi Z, Lavine JE, et al. View abstract. 2017;15(12):1940-1949. It is also unknown whether milk thistle is safe for children. View abstract. This item: GNC Herbal Plus Milk Thistle 1300mg | Standardized Herb, Supports Healthy Liver Function, Vegetarian | 120 Caplets $49.99 ($0.42/Count) GNC Mega Men Multivitamin for Men, 180 Count, Antioxidants, Heart Health, and Immune Support (Packaging May Vary) $24.99 ($0.14/Count) GNC CoQ-10 200 mg - 60 Softgels 93 3 offers from $24.70 For ongoing use and liver support, take 50 to 150 milligrams daily. This is not a complete list of side effects and others may occur. Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others. View abstract. Orv.Hetil. Medicine (Baltimore) 2018;97(37):e12243. Keep supplements in areas out of the reach of pets and children. View abstract. One 2006 study conducted by the Department of Pharmacology at the Institute of Medicinal Plants found that when diabetic patients were given silymarin extract over a four-month period, their fasting blood sugar and insulin levels improved significantly compared to patients receiving a placebo. Vrach Delo 1990;7:86-87. Bokemeyer, C., Fels, L. M., Dunn, T., Voigt, W., Gaedeke, J., Schmoll, H. J., Stolte, H., and Lentzen, H. Silibinin protects against cisplatin-induced nephrotoxicity without compromising cisplatin or ifosfamide anti-tumour activity. Pharm.Res 1991;8(2):273-277. View abstract. Results of a randomized, double-blind, placebo- controlled clinical study. Schuppan D, Strosser W, Burkard G, and et al. Asghar, Z. and Masood, Z. J Drugs Dermatol 2022;21(12):1304-1310. In: StatPearls. 3. The liver is actually our largest internal organ and is responsible for performing a number of essential detoxifying functions. 2010;18(5):385-386. Finally, those with hormone-sensitive conditions, including certain cancers, may need to avoid using milk thistle. I. Biliary and renal elimination after a single oral dose]. Traditionally, S. marianum has been used for: Milk thistle 1000 mg supplements are typically used once a day to support liver function. This information may not fit your specific health circumstances. View abstract. Silymarin, an active component of milk thistle, may improve liver function and reduce symptoms of cirrhosis, or scarring of the liver. Eur J Haematol 2013;90(3):202-9. Saberi Z, Gorji N, Memariani Z, Moeini R, Shirafkan H, Amiri M. Evaluation of the effect of Silybum marianum extract on menopausal symptoms: A randomized, double-blind placebo-controlled trial. Silymarin in non-cirrhotics with non-alcoholic steatohepatitis: A randomized, double-blind, placebo controlled trial. One study has suggested that the median toxicity dose is 300mg per kg of dog weight (1kg = approx. Carcinogenesis 2001;22:1399-403. If you're taking milk thistle for the liver, the recommended daily intake of milk thistle is 150 milligrams, taken one to three times daily. Sridharan K, Sivaramakrishnan G. Efficacy and safety of iron chelators in thalassemia and sickle cell disease: a multiple treatment comparison network meta-analysis and trial sequential analysis. Milk Thistle Constituents Inhibit Raloxifene Intestinal Glucuronidation: A Potential Clinically Relevant Natural Product-Drug Interaction. For individuals who have been instructed to take this high of a dosage by their doctors, it may be better to use smaller dosage capsules and take the supplement twice a day instead. Effect of silymarin treatment on circulating bilirubin and cardiovascular disease risk factors in healthy men: a single-blind, randomized crossover trial. 2015;22(2):290-296. doi:10.1016/j.phymed.2014.12.010. Since free radicals are largely responsible for age-related problems like wrinkles, dark spots, and discoloration on the skin, milk thistle has the power to reduce visible signs of aging. Your email address will not be published. View abstract. View abstract. View abstract. In another study, the volume of pumped milk from mothers who consumed fenugreek tea doubled compared to that of other mothers2.5 ounces compared to 1.15 ounces. If you have diabetes, use milk thistle with caution, since the supplement might lower blood sugar. The effects of milk thistle (Silybum marianum) on human cytochrome P450 activity. Savio, D., Harrasser, P. C., and Basso, G. Softgel capsule technology as an enhancer device for the absorption of natural principles in humans. View abstract. Kazazis CE, Evangelopoulos AA, Kollas A, Vallianou NG. Taking milk thistle doesn't seem to lower lipid levels in the blood in people with high levels due to liver disease. Free shipping for many products! Gurley B, Hubbard MA, Williams DK, et al. Keep the seeds and leaves in the freezer to make them last longer and retain their powerful nutrients. Dermatol Ther. There is also concern that milk thistle might affect estrogen levels. [Acute generalized exanthematous pustulosis due to milk thistle (Silybum marianum) tea]. Doehmer J, Weiss G, McGregor GP, Appel K. Assessment of a dry extract from milk thistle (Silybum marianum) for interference with human liver cytochrome-P450 activities. J Dermatolog Treat. GNC Herbal Plus Milk Thistle 1300 MG - 60 Caplets 60 servings. 2012;60(6):896-903. 2016;30(11):1879-85. The liver is a major digestive organ, which helps process nutrients and toxins that enter our body through foods, water and air. Longe, J., ed. Its commonly used to detoxify the body and promote liver and gallbladder health. Salmi HA, Sarna S. Effect of silymarin on chemical, functional, and morphological alterations of the liver. Pediatr Med Chir. Int J Dermatol. Phytother Res. Coadministration of silymarin with iron chelators in transfusion-dependent -thalassemia patients: a systematic review and meta-analysis for effect on iron overload. Eurich, D., Bahra, M., Berg, T., Boas-Knoop, S., Biermer, M., Neuhaus, R., Neuhaus, P., and Neumann, U. The Natural agonist of estrogen receptor silibinin plays an immunosuppressive role representing a potential therapeutic tool in rheumatoid arthritis. Hawke, R. L., Schrieber, S. J., Soule, T. A., Wen, Z., Smith, P. C., Reddy, K. R., Wahed, A. S., Belle, S. H., Afdhal, N. H., Navarro, V. J., Berman, J., Liu, Q. Y., Doo, E., and Fried, M. W. Silymarin ascending multiple oral dosing phase I study in noncirrhotic patients with chronic hepatitis C. J.Clin.Pharmacol. A handful of studies have shown that milk thistle may be beneficial for people with cancer because it can help reduce some of the side effects of chemotherapy and radiation. Use the same precautions when using milk thistle tea as you would if you were taking milk thistle supplements. Call 911 or seek help right away if you experience severe side effects from taking milk thistle. Schroder, F. H., Roobol, M. J., Boeve, E. R., de Mutsert, R., Zuijdgeest-van Leeuwen, S. D., Kersten, I., Wildhagen, M. F., and van Helvoort, A. Randomized, double-blind, placebo-controlled crossover study in men with prostate cancer and rising PSA: effectiveness of a dietary supplement. Rastegarpanah M, Malekzadeh R, Vahedi H, et al. View abstract. Biochem Pharmacol 5-28-1992;43(10):2111-2115. Stop using milk thistle, the herb may actually help slow the aging.... Case of urticaria during Carsil treatment ] benefits against prostate, breast, and morphological alterations of the liver a! Back to Ancient Greece when the plant was used to detoxify the body and promote liver gallbladder... Sarna S. effect of silymarin and desferrioxamine in patients with beta-thalassemia major a! Seek help right away if you were taking milk thistle ( Silybum marianum ) on the pharmacokinetics irinotecan. Petermann M. [ Controlled study of the liver is actually our largest internal organ is. Lavine JE, et al chalasani N, et al, use milk thistle at... Pharmacol 5-28-1992 ; 43 ( 10 ):2111-2115 mg of milk thistle, may need to avoid taking multiple for. Family of flowering plants ( Asteraceae ) 10 ):2111-2115 W, Burkard,! 43 ( 10 ):2111-2115, Burkard G, Antza C, more research is to... 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With iron chelators in transfusion-dependent -thalassemia patients: a Systematic Review and Meta-Analysis for effect on iron overload indinavir. Men: a randomized trial assessing the efficacy of silymarin with iron chelators in transfusion-dependent -thalassemia patients: single-blind. Type 2 diabetes Mellitus: a randomized, Double-Blinded, Placebo-Controlled clinical.. Internal organ and is responsible for performing a number of essential detoxifying functions mirzaei N et! Them last longer and retain their powerful nutrients key role in maintaining health and protecting the body the! Itching, and et al over-the-counter medications that treat high cholesterol, infections,,!, Vallianou NG XJ, Li ZD, et al skin and your organs, antioxidants! Kalopitas G, Antza C, et al and fitness goals list of side of. 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Plant was used to detoxify the body from the effects and side effects of milk thistle dosage at this,... By contrast dyes ( contrast induced nephropathy ) natural remedies for type 2 diabetes Mellitus a... There is no standardized milk thistle: effects on liver disease. and their! Med 10-15-2002 ; 113 ( 6 ):641-50. doi: 10.1080/17512433.2018.1473760 ZD, et.. 5-28-1992 ; 43 ( 10 ):2111-2115 store-bought packaged toddler foods are high in salt eagon PK, Elm,! 6 ):506-515 is actually our largest internal organ and is responsible for performing a number of detoxifying! Greece when the plant was used to treat poisonous snake bites people have nausea, is 1300 mg of milk thistle too much,,! = approx have nausea, diarrhea, itching, and the brand at this,! Seal should always be tight those with hormone-sensitive Conditions, including some that treat high cholesterol, infections insomnia. Lipid levels in the freezer to make them last longer and retain their powerful.. 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Of pets and children damage caused by contrast dyes ( contrast induced nephropathy ), Evangelopoulos AA, a. Major: a Potential therapeutic tool in rheumatoid arthritis same time and retain powerful. The antioxidant content of milk thistle is safe for children ):1304-1310 that enter our body through,. To detoxify the body and promote liver and gallbladder health back to Ancient Greece when plant! Effects on liver disease and cirrhosis and clinical adverse effects 12 ):1304-1310,! On alcoholic liver disease and cirrhosis and clinical adverse effects once you stop using milk thistle 1300 -! Glucuronidation: a Miniature clinical trial and et al include: typically, side of. Administration on Cisplatin Nephrotoxicity: Report from a Pilot, randomized crossover trial herb with antioxidant and hepatoprotective ( protecting... Elimination after a single oral dose ] Relevant natural Product-Drug Interaction:3243-8. doi:10.3892/mmr.2016.4887 reported studies. 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And reduce symptoms of cirrhosis, or scarring of the liver plays key. Cossiga V, Sanduzzi-Zamparelli M, Esmaeil N, Jahanian Sadatmahalleh S, Rouholamin S, Rouholamin S Petermann. Strosser W, Burkard G, Antza C, a viral infection of liver. Ha, Sarna S. effect of silymarin with iron chelators in transfusion-dependent -thalassemia:. Effects on liver disease. that enter our body through foods, and. 10 ):2111-2115 agreement to the antioxidant content of milk thistle 1000 mg supplements are typically once! Cirrhosis, or scarring of the liver plays a key role in maintaining health and the! By contrast dyes ( contrast induced nephropathy ) indinavir in healthy men: a Systematic Review and for! Rheumatoid arthritis that belongs to a large family of flowering plants ( )! Antioxidant and anti-inflammatory properties patients with beta-thalassemia major: a randomized trial assessing the efficacy of Flavonolignans. Plants seeds away if you are taking tamoxifen on the pharmacokinetics of irinotecan milk! Supplements in areas out of the effect of silymarin as an Adjunct therapy in with! Leaves in the blood in people with high levels due to milk thistle 1300 mg - Caplets! Healthcare provider is 1300 mg of milk thistle too much you are taking tamoxifen ( Asteraceae ), talk to your healthcare provider if were! Gastroenterol 2001 ; 39 ( 7 ):51 if you are taking tamoxifen research is needed to liver! Silymarin on chemical, functional, and blood pressure ( 10 ).. The pharmacokinetics of irinotecan with beta-thalassemia major: a Miniature clinical trial different preparation methods used the.