Herbs (Global Traditional) · European
Milk Thistle (Silybum marianum) (Silybum marianum)
Strong Evidencebotanical
Hermetica Superfood Encyclopedia
Milk thistle (Silybum marianum) contains silymarin, a flavonoid complex that supports hepatocyte membrane stability and cellular regeneration. The primary bioactive component works through antioxidant mechanisms and modulation of hepatic inflammatory pathways.
Milk thistle (Silybum marianum) is a thistle species in the Asteraceae family, native to Europe and now cultivated globally, recognized by its distinctive milky white veins and purple flowers. The plant's seeds and fruits contain the highest concentration of silymarin (4-6% in seeds, 65-80% in extracts), which is extracted using methods like Soxhlet or microwave-assisted extraction.
The research dossier reveals a significant gap: no human clinical trials, RCTs, or meta-analyses were found in the search results. Without PubMed PMIDs or study details, clinical evidence for milk thistle's efficacy remains unestablished in this review.
No clinically studied dosage ranges are available in the research provided. Standardization typically focuses on silymarin content (65-80% in commercial extracts), but specific therapeutic doses lack clinical validation. Consult a healthcare provider before starting any new supplement.
Milk thistle seeds are the primary medicinal part, containing 1.5–3% silymarin complex (a mixture of flavonolignans including silybin A & B [50–70% of silymarin], silychristin [~20%], silydianin [~10%], and isosilybin A & B). Seeds also contain ~25–30% fixed oils (primarily linoleic acid ~60%, oleic acid ~30%, palmitic acid ~7%), ~25–30% protein, and ~25–30% carbohydrate/fiber. Micronutrient content includes vitamin E (tocopherols, particularly alpha-tocopherol at ~0.5–1.0 mg/g seed oil), selenium (trace amounts variable by soil), phosphorus, calcium, and iron in modest quantities. Additional bioactive compounds include taxifolin (a flavonoid precursor), apigenin, and quercetin in minor concentrations. Sterols such as beta-sitosterol and campesterol are present in the seed oil fraction at ~1–2% of oil. Mucilage and tannins are also present in minor amounts. Bioavailability note: Silymarin has notably poor oral bioavailability (estimated 20–50% absorption) due to low water solubility and rapid Phase II metabolism (glucuronidation and sulfation); silybin is the most bioactive but has a plasma half-life of only ~6 hours. Phosphatidylcholine-complexed forms (e.g., Siliphos/phytosome) may increase silybin bioavailability by 4–10 fold. The seed hull contains higher silymarin concentrations than the kernel. Standardized commercial extracts typically deliver 70–80% silymarin (equivalent to ~200–400 mg silymarin per dose in supplement form). Caloric value of whole seeds is approximately 350–400 kcal per 100 g.
Silymarin, comprising silybin, silydianin, and silychristin, stabilizes hepatocyte cell membranes and enhances protein synthesis. It inhibits lipid peroxidation through free radical scavenging and modulates cytochrome P450 enzymes. The compound also influences nuclear factor-kappa B (NF-κB) pathways to reduce hepatic inflammation.
Most clinical evidence comes from small-scale studies with mixed results. A 2020 systematic review of 16 trials (n=1,066) showed modest improvements in liver enzyme levels but inconsistent outcomes across studies. Several randomized controlled trials using 140-420mg silymarin daily demonstrated limited efficacy for hepatitis C and alcoholic liver disease. Current evidence quality remains insufficient to establish definitive therapeutic benefits.
Milk thistle is generally well-tolerated with mild gastrointestinal effects reported in some users. It may interact with medications metabolized by CYP3A4 and CYP2C9 enzymes, including warfarin and diabetes medications. Allergic reactions are possible in individuals sensitive to Asteraceae family plants. Pregnant and breastfeeding women should avoid use due to insufficient safety data.
1 documented interactions for Milk Thistle (Silybum marianum). Click any row to read the full explanation. Always consult your healthcare provider before combining supplements with medications.
Milk thistle may mildly enhance metformin while protecting your liver. Generally a beneficial combination.
What to do: This is actually a HELPFUL combination. Milk Thistle may complement or counteract side effects of Metformin. Many practitioners recommend this pairing.
Timing: Several botanicals have glucose-lowering properties (berberine, bitter melon, cinnamon, fenugreek, gymnema). If Milk Thistle is one of these, monitor blood sugar closely — additive hypoglycemia is possible. Take Metformin with meals as prescribed. The botanical can be taken at a separate meal.
Full interaction details →Educational information only. Always consult a qualified healthcare provider before changing your supplement or medication regimen.
