Name: Extra Strength Silymarin
Brand: NOW
SKU: 1lAYAS2A
Rating: 467.0 (4051 reviews)

Question 1

Does Milk Thistle support liver health?

Accepted Answer

Milk Thistle, primarily through its active compound silymarin, is widely studied for its potential to support liver health. Research suggests it may offer antioxidant and anti-inflammatory benefits to liver cells. However, more comprehensive studies are ongoing to fully understand its extent of effectiveness.

Question 2

Does Milk Thistle protect the liver from alcohol-induced damage?

Accepted Answer

Historically, Milk Thistle has been used in relation to alcoholic liver disease, and some studies suggest it may help shield liver cells from alcohol-related harm. While it shows potential, it is not considered a cure or a replacement for conventional medical treatment and abstinence. Its role is primarily supportive.

Question 3

Can Milk Thistle help with liver detoxification?

Accepted Answer

Milk Thistle is often associated with supporting the liver's natural detoxification processes due to its antioxidant properties. It may help protect liver cells from damage by harmful substances. However, the human body has its own efficient detoxification systems, and the term 'detoxification' can be broadly interpreted.

Question 4

What is the general consensus on Milk Thistle's overall effectiveness?

Accepted Answer

The general scientific consensus is that Milk Thistle shows promise as a supportive supplement for liver health, backed by traditional use and some research. While it's not a proven cure for severe liver diseases, it's considered a potentially beneficial agent for liver protection. More large-scale, high-quality human trials are needed to fully confirm its efficacy for various conditions.

Question 5

Is Milk Thistle effective for non-alcoholic fatty liver disease (NAFLD)?

Accepted Answer

Some preliminary studies indicate Milk Thistle may offer benefits for individuals with NAFLD, potentially by reducing inflammation and oxidative stress in the liver. Despite promising early findings, the current scientific evidence is not strong enough to recommend it as a primary treatment. Consultation with a healthcare professional is advised.

Question 6

What scientific evidence supports Milk Thistle's effectiveness?

Accepted Answer

The primary active compound, silymarin, has been investigated in various studies for its hepatoprotective effects. Human research has shown some potential in areas like reducing liver enzyme levels and protecting liver cells. While promising, the quality and scope of existing evidence vary, and further robust clinical trials are needed.

Question 7

Can Milk Thistle improve liver function test results?

Accepted Answer

Some clinical studies suggest that Milk Thistle supplementation may help lower elevated liver enzyme levels, such as ALT and AST, in individuals with specific liver conditions. This indicates a potential positive impact on liver cell integrity and function. However, individual responses can vary.

Question 8

Is Milk Thistle effective for treating hepatitis?

Accepted Answer

Studies have explored Milk Thistle's use in chronic hepatitis, particularly hepatitis C, yielding mixed results regarding improvements in liver enzyme levels or inflammation. It is not a standalone treatment for viral hepatitis. Any use should be considered an adjunctive therapy and occur under strict medical supervision.

Question 9

How does Milk Thistle exert its effects on the liver?

Accepted Answer

Milk Thistle's main active component, silymarin, is believed to act through several mechanisms. These include its potent antioxidant activity, anti-inflammatory properties, inhibition of toxin binding to liver cells, and promotion of liver cell regeneration. These actions contribute to its overall hepatoprotective profile.

Question 10

How quickly can one expect to see effects from Milk Thistle supplementation?

Accepted Answer

The timeframe for experiencing effects from Milk Thistle can vary considerably among individuals and depends on the specific health concern. While some may notice changes in liver enzyme levels or general well-being within weeks, others might require longer periods of consistent use. It is not typically an immediate-acting supplement.

Question 11

What is a common daily dosage for Milk Thistle?

Accepted Answer

Typical daily dosages of Milk Thistle extract often range from 200 mg to 400 mg, standardized to 70-80% silymarin. Some research has explored higher doses for specific contexts. For general use, dosages usually fall within the 200-400 mg range, often divided into multiple smaller doses throughout the day.

Question 12

Should Milk Thistle be taken with food or on an empty stomach?

Accepted Answer

Milk Thistle is generally recommended to be taken with food. This can help improve the absorption of its active compounds, particularly silymarin. Taking it with food may also help reduce the likelihood of minor digestive upset.

Question 13

How often should Milk Thistle be taken per day?

Accepted Answer

Many formulations of Milk Thistle recommend taking it two to three times per day. Dividing the daily dose helps maintain consistent levels of its active compounds in the body. Always refer to the specific product label for detailed instructions.

Question 14

In what forms is Milk Thistle typically available?

Accepted Answer

Milk Thistle is commonly available as capsules, tablets, and liquid extracts. It can also be found in tea bags or powder form. Capsules and tablets are the most prevalent, often standardized for their silymarin content.

Question 15

What does it mean if Milk Thistle is 'standardized to silymarin'?

Accepted Answer

Standardization means the extract is processed to contain a specific, guaranteed percentage of the active compound, silymarin. This process helps ensure consistency in potency between different batches and brands of the supplement. A common standardization level is 70-80% silymarin.

Question 16

Is there a specific time of day that Milk Thistle is best taken?

Accepted Answer

There is no strict 'best' time of day for taking Milk Thistle. As it is generally advised to take it with meals, timing it with breakfast, lunch, or dinner is common. Consistent daily intake is often considered more important than the specific timing.

Question 17

Are liquid Milk Thistle extracts more effective than capsules?

Accepted Answer

Both liquid extracts and capsules can be effective, provided they are standardized to a consistent amount of silymarin. The choice often depends on personal preference, as liquid forms may be perceived to be absorbed faster by some individuals, while capsules offer precise dosing. Quality and standardization are key factors for either form.

Question 18

Can Milk Thistle be taken long-term?

Accepted Answer

Milk Thistle is generally considered safe for long-term use at recommended dosages for many individuals. Studies have investigated its effects over extended periods. Most reports indicate a low incidence of adverse effects with sustained use.

Question 19

Does the dosage of Milk Thistle vary for different applications?

Accepted Answer

While general wellness dosages typically range from 200-400 mg of standardized extract, research has explored varying dosages for specific contexts. These higher research-specific dosages are often outside the scope of general daily supplementation recommendations. Always adhere to product label instructions.

Question 20

How should Milk Thistle supplements be stored to maintain potency?

Accepted Answer

Milk Thistle supplements should generally be stored in a cool, dry place, away from direct sunlight and moisture. Keeping the container tightly sealed helps prevent the degradation of the active compounds over time. Always check the product label for specific storage recommendations.

Question 21

Can Milk Thistle interact with prescription medications?

Accepted Answer

Yes, milk thistle can interact with certain prescription medications, particularly those metabolized by the cytochrome P450 enzyme system in the liver. This could potentially alter how the body processes drugs, affecting their effectiveness or increasing side effects. It is important to consult a healthcare professional before combining milk thistle with any medications.

Question 22

What are the common side effects associated with Milk Thistle?

Accepted Answer

Milk thistle is generally well-tolerated, but some individuals may experience mild gastrointestinal upset, such as nausea, diarrhea, or indigestion. Allergic reactions are also possible, especially in individuals sensitive to plants in the Asteraceae family. If severe or persistent side effects occur, discontinue use and consult a healthcare provider.

Question 23

Does Milk Thistle interact with blood-thinning medications?

Accepted Answer

Some research suggests that milk thistle might have mild antiplatelet effects, which theoretically could increase the risk of bleeding when taken with anticoagulant or antiplatelet medications. However, the evidence for this interaction is limited and conflicting. Individuals on blood thinners should discuss milk thistle use with their healthcare provider.

Question 24

Can Milk Thistle affect blood sugar levels?

Accepted Answer

Milk thistle may have a mild blood sugar-lowering effect, particularly in individuals with type 2 diabetes. Those managing diabetes or taking medications to control blood sugar should monitor their glucose levels closely if using milk thistle. Discussing this with a healthcare provider is advised to prevent potential hypoglycemia.

Question 25

Is Milk Thistle safe for pregnant or breastfeeding individuals?

Accepted Answer

Due to insufficient scientific data on its safety during pregnancy and breastfeeding, milk thistle is generally not recommended for these populations. There is limited information regarding its potential effects on the fetus or infant. It is always best to consult a healthcare provider before using any supplements during these periods.

Question 26

What are the contraindications for using Milk Thistle?

Accepted Answer

Milk thistle is generally contraindicated for individuals with known allergies to plants in the Asteraceae family. It is also not recommended for pregnant or breastfeeding individuals due to insufficient safety data. Those with hormone-sensitive conditions should use it with caution and under medical guidance.

Question 27

Are there specific allergies to be aware of when taking Milk Thistle?

Accepted Answer

Individuals with allergies to plants in the Asteraceae (daisy) family, such as ragweed, marigolds, chrysanthemums, or daisies, may experience an allergic reaction to milk thistle. Symptoms could include skin rash, hives, or breathing difficulties. If you have such allergies, consult a healthcare provider before use.

Question 28

Is Milk Thistle safe for individuals with hormone-sensitive conditions?

Accepted Answer

Milk thistle has been reported to possess mild estrogenic effects in some studies, which could theoretically impact hormone-sensitive conditions like breast cancer, uterine fibroids, or endometriosis. Individuals with such conditions should consult their healthcare provider before using milk thistle. Caution is advised.

Question 29

Should Milk Thistle be avoided before surgery?

Accepted Answer

Due to its potential mild antiplatelet effects and interactions with liver enzymes, milk thistle is generally advised to be discontinued at least two weeks before any scheduled surgery. This precaution helps to minimize the risk of increased bleeding or interference with anesthetic medications. Always inform your surgeon and anesthesiologist about all supplements you are taking.

Question 30

Can Milk Thistle interact with oral contraceptives?

Accepted Answer

There is a theoretical concern that milk thistle could interact with oral contraceptives by affecting liver enzymes responsible for drug metabolism, potentially reducing their effectiveness. However, strong clinical evidence for this specific interaction is limited. It is prudent to discuss concurrent use with a healthcare provider.

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Ingredient	Amount per serving
Calories	5 Calorie(s)
Total Fat	0.5 Gram(s)
Milk Thistle extract	450 mg

Extra Strength Silymarin
NOW

Extra Strength Silymarin

Score 88.0

Analysis

Effectiveness for goals

Dosage, timing & forms

Safety & interactions

Ingredients

Categories

Goals

Recommended Alternatives

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Premium Milk Thistle 160 mg

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leaderboard Score 88.0

insightsAnalysiswarningMedical Disclaimer

boltEffectiveness for goals

scheduleDosage, timing & forms

health_and_safetySafety & interactions

Ingredients

Categories

Goals

Recommended Alternatives

Double Strength Silymarin

Silymarin Complex

Milk Thistle Dandelion & Yellow Dock

Advanced Milk Thistle

Premium Milk Thistle 160 mg

Silymarin Plus

Milk Thistle Extract 175 mg

Milk Thistle 250 mg

Silymarin Complex

Double Strength Silymarin

Silymarin Complex

Milk Thistle Dandelion & Yellow Dock

Advanced Milk Thistle

Premium Milk Thistle 160 mg

Silymarin Plus

Extra Strength Silymarin
NOW

Score 88.0

Analysis

Effectiveness for goals

Dosage, timing & forms

Safety & interactions