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ingestible · for fatty liver (nafld)

Milk Thistle (Silymarin)

Reviewed by the Nimbera editorial team · Last updated May 2026

A 2024 meta-analysis of 26 RCTs (2,375 patients) found silymarin significantly reduced ALT and AST and improved hepatic steatosis scores in NAFLD patients.$15-$35 per month

How to use

Take 140-280 mg of standardized silymarin extract (70-80% silymarin content) 2-3 times daily with meals. Allow 8-12 weeks to assess response.

How it works

Silymarin acts as a potent antioxidant and anti-inflammatory agent, protecting liver cell membranes from oxidative damage, inhibiting inflammatory signaling, and stimulating liver cell regeneration.

Where to buy

Health food stores, pharmacies, Amazon - look for standardized 70-80% silymarin extract. Brands: Thorne, NOW Foods, Jarrow Formulas.

Typical cost: $15-$35 per month

Safety notes

Generally well tolerated. May cause mild GI upset. Can interact with certain medications metabolized by the liver - consult your doctor if on prescription drugs. Not recommended during pregnancy.

Drug & supplement interactions

  • Always tell your doctor or pharmacist about any supplements you take.
  • Interactions can occur with prescription medications, blood thinners, and immunosuppressants.
  • Herbal remedies can affect how the body absorbs or metabolises drugs.
  • Check drugs.com interactions checker before starting.

This information is compiled from primary clinical literature and is for informational purposes only. It is not a substitute for professional medical advice. Read our full disclaimer.