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Milk thistle: how much to take

Milk thistle extract (silymarin) is sold for liver health.

Calculator Official intake Study doses Best form Safety Sources

Adults 18+ only
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Official daily intake

This is not an essential nutrient, so there is no official daily intake. Only study doses are shown.

Doses used in studies

These are doses tested in research, not personal advice. Some exceed the upper limit because they were short courses or given under medical care.

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 meta-analysis.How grades workNo benefit or harm found

Liver disease

No single dose

A Cochrane review of 18 trials (1,088 patients with alcohol-related or hepatitis B or C liver disease) found no effect on deaths, complications or liver tissue. A small effect on liver-related deaths disappeared in the high-quality trials.

Rambaldi A et al. 2007

Best form and why

No best form

Why: Trials used standardised silymarin extracts, without a clear benefit.

Rambaldi A et al. 2007

Food sources

Not a normal food.

Interactions

Ask your doctor if you take other medicines.

Safety

Side effects were no more common than with placebo in the Cochrane review.

Pregnant, breastfeeding, on medication, or managing a health condition? Check with a doctor or pharmacist before starting a supplement.

Sources

  1. Meta-analysis Rambaldi A et al. (2007). Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases. Cochrane Database Syst Rev CD003620

Values checked: November 12, 2026.

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