Top 9 Best Milk Thistle (Silymarin) Supplements (2026)
Body · beginner · 2026

Top 9 Best Milk Thistle (Silymarin) Supplements (2026)

Bodybeginner
New to Milk Thistle (Silymarin)? Read the complete guide first — what it is, how it works, and who it's for.
▸ The ranked list

9 picks — ranked by our 50/50 methodology

  1. #1
    Best Overall

    Thorne Milk Thistle Phytosome (Formerly Siliphos), 90 Capsules

    Thorne
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%9.5
    • Silymarin/Silybin Dose vs Clinical Range25%7.5
    • Third-Party Testing & QA20%9.5
    • Value per Effective Serving15%7.0
    • Formulation Suitability & Tolerability10%9.0

    The bioavailability play done by the brand clinicians trust most — silybin bound to a sunflower phospholipid so more of the active actually gets absorbed, with third-party-certified QC and zero soy, dairy, or gluten.

    ~$29
    ~$0.32/cap (~$0.64–0.97/day at 2–3 caps)
    Form
    Silybin phytosome (silybin + sunflower phospholipid complex)
    Silybin load
    180 mg silybin-phytosome complex per capsule
    Supply
    90 capsules (label: 1 cap 2–3× daily)
    Testing
    Third-party certified; cGMP facility
    Allergens
    Gluten-, dairy- & soy-free
    Pros
    • Phytosome delivery targets milk thistle's biggest weakness — poor plain-extract absorption
    • Elite third-party QC reputation among clinicians
    • Sunflower-sourced phospholipid, so it stays soy-free (rare for a phytosome)
    • Clean allergen profile: gluten-, dairy- and soy-free
    Cons
    • The 180 mg is the complex weight, not 180 mg of free silybin
    • Label wants 2–3 caps/day, so true cost-per-day is higher than the sticker
    • Premium priced per milligram of silybin

    Our take — If you want the form the bioavailability science actually points to, from the brand with the strongest quality reputation in this list, this is it. You are paying a premium and the per-capsule silybin is modest — plan on 2–3 capsules a day to reach a meaningful dose. But for a supplement whose entire problem is absorption, paying for a real phytosome from Thorne is the most defensible splurge on this page.

  2. #2
    Highest Dose + Absorption

    Life Extension Advanced Milk Thistle, 120 Softgels

    Life Extension
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%9.0
    • Silymarin/Silybin Dose vs Clinical Range25%9.5
    • Third-Party Testing & QA20%8.5
    • Value per Effective Serving15%6.5
    • Formulation Suitability & Tolerability10%6.0

    The most loaded formula here — roughly 480 mg of standardized silymarin per serving stacked with a Siliphos phytosome fraction, so you get a clinical-range dose and an absorption boost in the same two softgels.

    ~$32
    ~$0.53/serving (2 softgels)
    Form
    Standardized extract + Siliphos silybin-phospholipid (softgel)
    Silymarin load
    ~480 mg silymarin / ~180 mg silybin per 2-softgel serving
    Phytosome add-on
    160 mg Siliphos silybin-phytosome
    Supply
    120 softgels = 60 servings
    Standardization
    Silibinins + isosilybin A & B
    Testing
    NSF-registered GMP facility; CoA available
    Pros
    • Highest disclosed silymarin load in the set — right in the clinical range per serving
    • Adds a Siliphos phytosome fraction on top of high-dose standardized extract
    • Standardized to specific silybin isomers, not just total silymarin
    • NSF-registered manufacturing with a Certificate of Analysis
    Cons
    • Contains soy (softgel/phospholipid) — off-limits for soy-avoiders
    • Two-softgel serving and the priciest-per-serving standardized option
    • 'Up to 3× absorption' is a brand claim, not an independent head-to-head

    Our take — This is the pick if your goal is to hit a trial-level silymarin dose without counting out four capsules — one serving does it, and the Siliphos fraction hedges the absorption problem. The catches are real: it contains soy, it costs the most per serving of the standardized options, and the absorption multiplier is the brand's own number. For a soy-tolerant buyer who wants dose and bioavailability in one bottle, it's the strongest formulation on the page — it loses the top spot only on soy and price.

  3. #3
    Cleanest Formula

    Pure Encapsulations Silymarin (Milk Thistle) 250 mg, 120 Capsules

    Pure Encapsulations
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%6.5
    • Silymarin/Silybin Dose vs Clinical Range25%8.5
    • Third-Party Testing & QA20%9.5
    • Value per Effective Serving15%6.0
    • Formulation Suitability & Tolerability10%9.5

    The hypoallergenic clinic staple — 250 mg of 80%-standardized extract (~200 mg silymarin) in a capsule whose only other ingredient is cellulose, backed by one of the strongest raw-material testing programs in the industry.

    ~$42
    ~$0.35/cap
    Form
    Milk thistle extract, 80% silymarin (veg capsule)
    Silymarin load
    ~200 mg silymarin per capsule
    Supply
    120 capsules (label: 1 cap 1–4× daily)
    Excipients
    Cellulose capsule only — hypoallergenic
    Testing
    Brand third-party raw-material testing program
    Suitability
    Non-GMO, gluten-free, vegan
    Pros
    • ~200 mg silymarin/cap and a flexible 1–4 cap/day range make clinical doses easy to reach
    • Minimal-excipient, hypoallergenic formula — a physician favorite
    • Strong brand QC and raw-material testing reputation
    • Vegan and gluten-free
    Cons
    • Plain (non-phytosome) extract, so the standard absorption ceiling applies
    • Premium price buys purity and QC, not enhanced bioavailability
    • No independent NSF/USP seal despite the price

    Our take — If you react to fillers or just want the cleanest possible silymarin, this is the one — a bare-bones, hypoallergenic capsule from a brand clinicians reach for by reflex. Just know what you're paying for: purity and testing, not absorption. It's plain extract, so take it with food and don't expect the phytosome edge that #1 and #2 deliver.

  4. #4
    Best Value

    Nutricost Milk Thistle 300 mg (80% Silymarin), 120 Capsules

    Nutricost
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%6.5
    • Silymarin/Silybin Dose vs Clinical Range25%8.0
    • Third-Party Testing & QA20%6.5
    • Value per Effective Serving15%9.5
    • Formulation Suitability & Tolerability10%8.0

    A genuine 80%-standardized extract — ~240 mg silymarin per capsule — for around $16 a bottle, which is the best cost-per-milligram-of-silymarin of any straight extract here.

    ~$16
    ~$0.13/cap
    Form
    Milk thistle extract, 80% silymarin (veg capsule)
    Silymarin load
    ~240 mg silymarin per capsule
    Supply
    120 capsules = 120 servings
    Testing
    Brand-stated third-party tested; GMP/FDA-registered facility
    Suitability
    Non-GMO, gluten-free
    Pros
    • Real 80% standardization at a budget price (240 mg silymarin/cap)
    • Outstanding cost-per-mg-silymarin — 120 servings for ~$16
    • Cleaner spec than Nutricost's cheaper 4:1 non-standardized SKU
    • Non-GMO and gluten-free
    Cons
    • Third-party testing is brand-stated, not an independent NSF/USP seal
    • Plain extract — absorption is the standard limitation
    • Single 240 mg/day serving sits below the ~420 mg used in several trials

    Our take — This is the value winner and the sane default for most people — a legitimate 80% extract at a price that makes daily use painless. Two knocks keep it out of the top three: the testing is the brand's own word rather than an independent seal, and it's plain extract, so absorption is average. Quality-over-price is exactly why it's #4 and not #1 — but take two a day and it's still cheaper than most single-cap rivals, which earns it the Best Value badge.

  5. #5
    Best Liver-Herb Blend

    NOW Foods Silymarin Milk Thistle Extract 300 mg, Double Strength, with Artichoke & Dandelion, 200 Veg Capsules

    NOW Foods
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%6.5
    • Silymarin/Silybin Dose vs Clinical Range25%8.0
    • Third-Party Testing & QA20%7.0
    • Value per Effective Serving15%8.5
    • Formulation Suitability & Tolerability10%6.5

    240 mg of 80%-standardized silymarin per cap bundled with artichoke and dandelion, in a 200-count bottle from a large, UL-audited GMP manufacturer — a lot of liver-herb coverage for around $22.

    ~$22
    ~$0.11/cap
    Form
    80% silymarin extract (2:1 concentrate) + artichoke & dandelion (veg cap)
    Silymarin load
    ~240 mg silymarin per capsule
    Supply
    200 veg capsules
    Testing
    UL-audited GMP facility; non-GMO
    Suitability
    Vegetarian/vegan
    Pros
    • 240 mg silymarin/cap from a double-strength 2:1 concentrate
    • 200-count bottle = long supply at low cost
    • Bundled artichoke + dandelion, two traditional liver-support herbs
    • UL-audited GMP manufacturing from a large, trusted brand
    Cons
    • It's a blend, so you can't cleanly attribute effects to milk thistle alone
    • Plain (non-phytosome) extract — standard absorption ceiling
    • No independent NSF/USP seal

    Our take — A strong-value big bottle if you actively want the traditional liver-herb stack — artichoke and dandelion ride along with a real silymarin dose. The trade-off is scientific tidiness: with three herbs in the capsule you lose clean attribution, which is why it sits behind the single-ingredient value pick. Great for a 'liver support' shelf staple, less ideal if you want to isolate what milk thistle is doing.

  6. #6
    Best One-a-Day

    Solaray Milk Thistle Seed Extract 350 mg, One Daily, Guaranteed 80% Silymarin, 60 VegCaps

    Solaray
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%6.5
    • Silymarin/Silybin Dose vs Clinical Range25%8.0
    • Third-Party Testing & QA20%6.5
    • Value per Effective Serving15%7.5
    • Formulation Suitability & Tolerability10%8.0

    The highest silymarin-per-single-capsule of the plain extracts — 280 mg from a guaranteed-potency 80% extract, in a convenient once-daily vegan cap.

    ~$18
    ~$0.30/serving (1 cap)
    Form
    Milk thistle seed extract, guaranteed 80% silymarin (veg cap)
    Silymarin load
    280 mg silymarin per capsule
    Supply
    60 VegCaps = 60 servings (one daily)
    Testing
    Brand lab, guaranteed-potency label
    Suitability
    Vegan
    Pros
    • Highest single-capsule silymarin of the plain extracts — 280 mg, one a day
    • Guaranteed (not just labeled) 80% potency
    • Convenient once-daily dosing, vegan caps
    • Tested in Solaray's own Utah lab (brand-stated)
    Cons
    • Plain extract — no absorption enhancement
    • 280 mg/day still sits below the ~420 mg used in several liver studies
    • Smaller 60-count bottle; no independent NSF/USP seal

    Our take — The easiest one-and-done pick — a single vegan capsule delivers the most silymarin per cap of any plain extract here, with a guaranteed-potency label. Two caveats keep it mid-pack: it's still plain extract, and even at 280 mg you're a touch under the classic trial dose. If a single daily capsule is what gets you to actually take it, that adherence edge is worth a lot.

  7. #7
    Best Budget Phytosome

    Swanson Siliphos Milk Thistle Phytosome (Standardized) 300 mg, 60 Capsules

    Swanson
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%9.0
    • Silymarin/Silybin Dose vs Clinical Range25%7.0
    • Third-Party Testing & QA20%5.0
    • Value per Effective Serving15%7.0
    • Formulation Suitability & Tolerability10%5.5

    The cheapest way into real phytosome bioavailability — the same patented Siliphos silybin-phospholipid tech premium brands use, at roughly $16.

    ~$16
    ~$0.27/cap (~$0.53–0.80/day at 2–3 caps)
    Form
    Siliphos silybin phytosome (silybin-phosphatidylcholine), gelatin cap
    Silybin load
    ~90–108 mg silybin per capsule (29–36% of 300 mg Siliphos)
    Supply
    60 capsules (label: 1 cap 1–3× daily)
    Standardization
    29–36% silybin (patented Siliphos raw material)
    Testing
    In-house GMP facility only
    Pros
    • Budget entry into phytosome (Siliphos) bioavailability — milk thistle's key absorption lever
    • Standardized to the bioactive silybin isomer (~90–108 mg/cap)
    • Lowest-cost phytosome option in the set
    • Patented Siliphos raw material, same tech as premium brands
    Cons
    • The only pick with no third-party testing claim — in-house GMP only
    • Gelatin capsules, so not vegan
    • Modest silybin per cap means 2–3 caps/day for a full dose

    Our take — If the phytosome form matters to you but the premium price tags don't, this is the honest budget route to the absorption tech that makes milk thistle worth taking. Be clear-eyed about the compromises: it's the only option here with no third-party testing claim, the capsule is gelatin, and the silybin per cap is modest. Best form-for-the-money on the page — just the weakest QC paper trail, which is exactly what keeps it out of the top tier.

  8. #8
    Best Vegan Staple

    Jarrow Formulas Milk Thistle 150 mg, 30:1 Standardized to 80% Silymarin, 200 Veggie Capsules

    Jarrow Formulas
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%6.5
    • Silymarin/Silybin Dose vs Clinical Range25%6.5
    • Third-Party Testing & QA20%6.0
    • Value per Effective Serving15%8.5
    • Formulation Suitability & Tolerability10%8.5

    A concentrated 30:1 extract standardized to 80% silymarin at the lowest price-per-capsule in the set — a clean, vegan, allergen-free everyday option.

    ~$19
    ~$0.10/cap
    Form
    Milk thistle seed 30:1 extract, 80% silymarin (veggie cap)
    Silymarin load
    120 mg silymarin per capsule
    Supply
    200 veggie capsules (label: 1 cap 1–3× daily)
    Testing
    Brand GMP; free of major allergens
    Suitability
    Vegan, non-GMO, gluten-free
    Pros
    • 30:1 concentrated extract standardized to 80% silymarin
    • Lowest price-per-capsule in the set — 200 caps for ~$19
    • Vegan, non-GMO, allergen-free formulation
    • Marketed around glutathione support for liver function
    Cons
    • Only 120 mg silymarin/cap — the lowest per-capsule dose here
    • Reaching a trial-level ~420 mg/day means 3–4 capsules, not one
    • Plain extract with the usual low oral bioavailability; no NSF/USP seal

    Our take — A dependable, allergen-friendly vegan staple that's genuinely cheap per capsule — but read the label math. At 120 mg silymarin per cap, the 'one a day' habit lands well under the doses used in studies; you'll want three or four caps to get there, which erodes the price edge. Fine as a low-dose maintenance option, underpowered as a single-cap solution.

  9. #9
    Best Organic Full-Spectrum

    Gaia Herbs Milk Thistle Seed, 120 Vegan Liquid Phyto-Caps

    Gaia Herbs
    SAC Product Score™ — how it breaks down
    • Form & Bioavailability30%5.5
    • Silymarin/Silybin Dose vs Clinical Range25%4.0
    • Third-Party Testing & QA20%7.5
    • Value per Effective Serving15%5.0
    • Formulation Suitability & Tolerability10%9.0

    A USDA-organic, whole-fruit extract in a liquid phyto-cap with lot-level traceability — a full-spectrum, food-form take on milk thistle rather than a standardized silymarin dose.

    ~$30
    ~$0.75/serving (3 caps)
    Form
    Organic Silactive whole-fruit liquid extract (vegan liquid phyto-cap)
    Herb load
    22,500 mg dry-herb equivalent per 3-cap serving
    Silymarin
    Not disclosed on label
    Supply
    120 capsules = 40 servings (3 caps each)
    Certification
    USDA Organic, non-GMO, Meet Your Herbs traceability
    Pros
    • Whole-fruit, full-spectrum organic extract (Silactive) rather than an isolate
    • Liquid phyto-cap format the brand says aids delivery vs dry powder
    • USDA Organic + non-GMO + lot-level traceability
    • Vegan and cleanly formulated
    Cons
    • Does NOT disclose a standardized silymarin % or mg — the weakest pick on the core content axis
    • You're buying organic full-spectrum, not a guaranteed silymarin dose
    • Needs 3 caps per serving and costs the most per serving

    Our take — The pick for buyers who prioritize organic, whole-plant, traceable sourcing over a number on a lab sheet — and Gaia delivers that better than anyone here. But this listicle ranks on silymarin content and bioavailability, and an undisclosed silymarin percentage is a real handicap: you can't confirm you're getting an effective dose. Choose it for the philosophy, not for hitting a clinical target.

▸ Affiliate disclosure: every Amazon link uses our Associates tag (superachieverclub-20). We earn a small commission at no cost to you; it funds independent reviews. We never accept payment to change a ranking.

▸ Why it matters

What actually matters in a milk thistle supplement

  1. 01

    You're buying silymarin, not 'milk thistle'

    The liver-active fraction is silymarin — a complex of flavonolignans led by silybin — not raw seed powder. A label boasting 1,000 mg of milk thistle can contain less silymarin than a 300 mg cap standardized to 80%. Always read the standardization percentage and the resulting silymarin milligrams, because that number, not the herb weight, is what the research is about.

  2. 02

    Absorption is the real bottleneck — phytosome earns its price

    Silymarin is poorly water-soluble and poorly absorbed by mouth, which is why simply raising the dose has limits. Binding silybin to a phospholipid (the Siliphos/phytosome form) meaningfully improves uptake, and it's the single biggest formulation lever on this page. That's why our top picks lead with a phytosome or a phospholipid fraction rather than the cheapest high-milligram extract.

  3. 03

    The strongest evidence is honestly mixed — this is supportive care, not a cure

    The Cochrane review of randomized trials found no significant effect of milk thistle on mortality, and its apparent liver-related benefit vanished when only high-quality trials were counted. A large 48-week NASH trial missed its primary endpoint even at 2,100 mg/day, hinting only at a possible fibrosis signal. More favorable narrative reviews exist, but they sit lower on the evidence ladder — treat silymarin as plausible supportive care, never as a substitute for treating the underlying cause.

  4. 04

    Dose to the studied range, or don't expect the studied effects

    The classic hepatology dose is about 420 mg silymarin per day, split across three doses, and several one-a-day products fall short of it. If a capsule delivers 240–280 mg, a single daily dose is under the trial range — you'll often need two. Match your daily silymarin to the studied range before concluding the supplement 'didn't work.'

Rambaldi 2007 Cochrane review, no mortality benefit (PMID 17943794); Rambaldi 2005 Am J Gastroenterol, same null in high-quality trials (PMID 16279916); Wah Kheong 2017 NASH RCT, primary endpoint missed at 2,100 mg/day (PMID 28419855); Gillessen 2020 Adv Ther narrative review, more favorable but lower evidence tier (PMID 32065376).

▸ Methodology

How We Ranked Milk Thistle (Silymarin) Supplements

Milk thistle lives or dies on two numbers most labels bury: how much actual silymarin (the active flavonolignan complex) you're getting, and how much of it your body can absorb. Plain seed extract is notoriously poorly absorbed, so a phospholipid-bound 'phytosome' form can matter more than a bigger milligram number. We scored every product on five weighted axes built for this specific compound, then reconciled each pick's axis scores into a single SAC Efficacy Score out of 10. Price is only a tie-breaker — quality and absorption outrank the sticker, so the cheapest bottle is our 'Best Value,' never our #1.

  • Form & Bioavailability30%

    Milk thistle's central problem is poor oral absorption. Phospholipid/phytosome forms (Siliphos, silybin-phosphatidylcholine) that improve silybin uptake score highest; high-percentage standardized extracts sit in the middle; non-standardized full-spectrum products score lowest on this axis.

  • Silymarin/Silybin Dose vs Clinical Range25%

    Classic hepatology trials used about 420 mg silymarin per day (140 mg silybin, three times daily), and some NASH work went far higher. We reward products that disclose actual silymarin/silybin milligrams and can reach a meaningful daily dose without a fistful of capsules; undisclosed potency is penalized.

  • Third-Party Testing & Quality Assurance20%

    Independent seals (NSF/USP) and elite brand testing programs (Thorne, Pure Encapsulations, NSF-registered facilities) rank above brand-stated testing, which ranks above in-house GMP alone. We never treat a manufacturer's own claim as an independent certification.

  • Value per Effective Serving15%

    Cost measured against the dose you actually need — not per bottle, but per day at a real silymarin dose. This is a tie-breaker, not a throne-maker: a great price lifts a strong product but never rescues a weak one.

  • Formulation Suitability & Tolerability10%

    Vegan vs gelatin capsules, allergen load (soy is common in phospholipid softgels), excipient minimalism, and single-ingredient clarity vs multi-herb blends. Silymarin is very well tolerated, so this axis rewards purity and suitability more than safety.

▸ Verdict

The bottom line

  1. 01

    The winner: Thorne Milk Thistle Phytosome

    It leads with the form the science favors — silybin bound to a sunflower phospholipid for better absorption — from the brand with the strongest third-party QC reputation in this set, and it stays soy-, gluten- and dairy-free. The per-capsule silybin is modest and you'll take 2–3 a day, so it isn't the cheapest path. But for a supplement whose entire challenge is bioavailability, paying for a real phytosome from Thorne is the most defensible choice.

  2. 02

    Pick by need, not by rank

    Want the biggest dose plus an absorption boost in one serving? Life Extension. Cheapest legitimate 80% extract? Nutricost, our Best Value. Sensitive to fillers? Pure Encapsulations. One capsule a day? Solaray. Phytosome tech on a budget? Swanson. Organic, whole-plant sourcing over a lab number? Gaia. The right bottle depends on which trade-off you're willing to make.

  3. 03

    The honest rule: calibrate your expectations

    Milk thistle is remarkably well tolerated and biologically plausible as antioxidant liver support, and it's cheap enough to try. But the highest-quality randomized evidence does not show it changes hard liver outcomes, so it is supportive care — not a treatment for alcohol use, viral hepatitis, or metabolic liver disease. Buy a standardized, bioavailable form, dose it to the studied range, and never let it replace addressing the underlying cause.

▸ Research & sources

Every claim ranked above traces back to one of these

Peer-reviewed studies, meta-analyses and clinical trials behind the picks. Click any citation to read the abstract on PubMed.

  1. [1]
    Rambaldi A, Jacobs BP, Gluud C. Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases. Cochrane Database Syst Rev. 2007;(4):CD003620.Rambaldi A, Jacobs BP, Gluud C · 2007 · Cochrane Database of Systematic Reviews · PMID 17943794

    Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases

    In 18 randomized trials (1,088 patients), milk thistle had no significant effect on all-cause mortality (RR 0.78, 95% CI 0.53–1.15); the apparent liver-related mortality benefit disappeared when only high-quality trials were analyzed.

  2. [2]
    Rambaldi A, Jacobs BP, Iaquinto G, Gluud C. Milk thistle for alcoholic and/or hepatitis B or C liver diseases—a systematic Cochrane hepato-biliary group review with meta-analyses of randomized clinical trials. Am J Gastroenterol. 2005;100(11):2583-91.Rambaldi A, Jacobs BP, Iaquinto G, Gluud C · 2005 · American Journal of Gastroenterology · PMID 16279916

    Milk thistle for alcoholic and/or hepatitis B or C liver diseases—a systematic Cochrane hepato-biliary group review with meta-analyses of randomized clinical trials

    Across 13 trials in 915 patients, milk thistle did not significantly reduce mortality or liver-disease complications when all trials or only high-quality trials were combined.

  3. [3]
    Wah Kheong C, Nik Mustapha NR, Mahadeva S. A Randomized Trial of Silymarin for the Treatment of Nonalcoholic Steatohepatitis. Clin Gastroenterol Hepatol. 2017;15(12):1940-1949.e8.Wah Kheong C, Nik Mustapha NR, Mahadeva S · 2017 · Clinical Gastroenterology and Hepatology · PMID 28419855

    A Randomized Trial of Silymarin for the Treatment of Nonalcoholic Steatohepatitis

    In 99 NASH patients, silymarin 700 mg three times daily (2,100 mg/day) for 48 weeks did not achieve the primary histologic endpoint versus placebo, though it hinted at a possible reduction in liver fibrosis.

  4. [4]
    Gillessen A, Schmidt HH. Silymarin as Supportive Treatment in Liver Diseases: A Narrative Review. Adv Ther. 2020;37(4):1279-1301.Gillessen A, Schmidt HH · 2020 · Advances in Therapy · PMID 32065376

    Silymarin as Supportive Treatment in Liver Diseases: A Narrative Review

    This narrative review concluded silymarin can reduce oxidative stress and is well tolerated, and reported that a pooled analysis in cirrhosis was associated with reduced liver-related deaths — but as a narrative review it sits below Cochrane-level evidence.

  5. [5]
    Tao L, Qu X, Zhang Y, Song Y, Zhang SX. Prophylactic Therapy of Silymarin (Milk Thistle) on Antituberculosis Drug-Induced Liver Injury: A Meta-Analysis of Randomized Controlled Trials. Can J Gastroenterol Hepatol. 2019;2019:3192351.Tao L, Qu X, Zhang Y, Song Y, Zhang SX · 2019 · Canadian Journal of Gastroenterology & Hepatology · PMID 30733935

    Prophylactic Therapy of Silymarin (Milk Thistle) on Antituberculosis Drug-Induced Liver Injury: A Meta-Analysis of Randomized Controlled Trials

    A meta-analysis of 5 RCTs (1,198 patients) found prophylactic silymarin significantly reduced anti-tuberculosis drug-induced liver injury at week 4, with the benefit attenuating over longer treatment.