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Conclusions About Milk Thistle

The Editors at Hepatitis Central
January 17, 2006

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A May 2005 review of clinical studies which casts doubt on milk thistle’s value has recently been re-released into the press. Alternatively, an extensive amount of research supports the continued usage of this herb at higher dosages.

Researchers of the Cochrane Review examined 13 randomized, clinical trials assessing the impact of silymarin (the extract of milk thistle) on liver disease. It is important to note that a current search of silymarin clinical studies on results in 846 entries. According to the National Institutes of Health and hundreds of in-vitro studies, silymarin demonstrates a marked hepato-protective effect. In addition to concluding that milk thistle is perfectly safe, the researchers in this Cochrane Collection Review also concede that studies using higher dosages are required to accurately determine silymarin’s effect on liver function.

Those concerned with optimal liver protection should look for the following characteristics in a quality milk thistle product:

  • A high dosage
  • A delivery system which enhances absorption
  • Use of the most beneficial constituent of silymarin

Medical researchers concur that silybin, which comprises 50 percent of silymarin, is responsible for the majority of milk thistle’s liver-protective qualities. While the standard dose of silymarin is 420 mg per day, higher dosages of the more specific form, silybin, demonstrate correspondingly higher levels of liver protection. Furthermore, when silybin is in a phytosome complex, liver cells can absorb 8 to 10 times more than a standard preparation. The daily recommended dosage of UltraThistle provides 1,080 mg of silybin phytosome, far exceeding the levels of bio-available milk thistle used in this scientific review. For more information on UltraThistle, visit

The article below urges researchers to conduct studies with higher dosages of milk thistle extract.

Milk Thistle Does Not Lower Mortality in Liver Diseases, Best Studies Find

By Lise Stevens, Contributing Writer

Health Behavior News Service

Milk thistle, a widely used alternative medicine, is not proven effective in lowering mortality in alcoholic or hepatitis B or C liver disease, according to a systematic review of current evidence.

While some studies found that liver-related mortality may be significantly reduced in patients treated with milk thistle, these findings were not duplicated in the higher quality clinical trials.

However, milk thistle was found safe to use with no serious side effects and with participants perceiving improvement in symptoms — although no more than with placebo.

Dr. Andrea Rambaldi, visiting researcher at the of the Centre for Clinical Intervention Research at Copenhagen University Hospital, led a team that reviewed 13 randomized clinical trials involving 915 patients who were treated with milk thistle or its extracts.

Participants had acute or chronic alcoholic liver cirrhosis, liver fibrosis, hepatitis and/or steatosis, and viral-induced liver disease (hepatitis B and/or hepatitis C). Patients with rarer specific forms of liver disease were excluded.

All the trials compared the efficacy of milk thistle or any milk thistle constituent versus placebo or no intervention in patients with liver disease. “There is no evidence supporting or refuting milk thistle for alcoholic and/or hepatitis B or C virus liver diseases,” the authors found.

The review appears in the most recent issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

According to the Centers for Disease Control and Prevention, 170 million people worldwide are infected with hepatitis C, and 2 billion are infected with hepatitis B. While a vaccine exists to prevent hepatitis B, there is no vaccine for hepatitis C.

Although the virus can be cleared in a handful of patients, many strains are resistant to treatment. Drug therapies that focus on long-term suppression of the virus are expensive, and many patients develop a resistance. The current gold standard treatment, which combines injections of interferon and ribavirin, has serious side effects and is hard for patients to tolerate.

With lack of effective treatment for liver disease, researchers have been looking for alternative therapies that curb symptoms with minimum adverse effects on patients.

Milk thistle and its extracts have been used since the time of ancient Greece for medicinal purposes, are currently widely used in Europe for liver disease, and are readily available in the United States at alternative medicine outlets and outdoor markets.

G. Thomas Strickland, M.D., Ph.D., professor at the University of Maryland School of Medicine, has been studying the role of silymarin, an extract of milk thistle, in preventing complications of chronic hepatitis virus infection. Strickland says that the exact mechanism of action of silymarin is unclear.

A problem with current trials, according to Dr. Strickland, is that the dose of silymarin administered, typically 140 mg three times daily, is too low. “I would certainly double it,” he says, “especially since at the current dose we’re not seeing any improvement in acute viral or chronic hepatitis, and we’ve shown that silymarin is totally safe.”

“The problem is, there is no cure for viral hepatitis except bed rest and diet, and treatments like silymarin are worth pursuing,” Strickland says, calling for more research funding.

“We should consider doing randomized clinical trials with higher doses of silymarin,” Dr. Rambaldi concurs.

According to the National Center for Complementary and Alternative Medicine , a part of the National Institutes of Health, studies in laboratory animals suggest that silymarin may benefit the liver by promoting the growth of certain types of liver cells, demonstrating a protective effect, fighting oxidation (a chemical process that damages cells) and inhibiting inflammation.

In their review, Dr. Rambaldi and colleagues conclude, “Milk thistle could potentially affect alcoholic and/or hepatitis B or C virus liver diseases. Therefore, large-scale randomized clinical trials on milk thistle for alcoholic and/or hepatitis B or C liver diseases versus placebo may be needed.”

– Rambaldi A, Jacobs BP, Iaquinto G, Gluud C. Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases. The Cochrane Database of Systematic Reviews 2005, Issue 2.

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Comments provides information regarding hepatitis and liver disease. Comments are available to the community in order to discuss these topics and obtain answers to questions through community members. The Editors at will not be responding to questions or comments posed in article comments.