What liver supplements should I ask my doctor about?

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  1. Dr. Michael Roizen
     
    Dr. Michael Roizen answered:
    Because of their lack of standard dosing and potential interaction with other drugs, certain supplements that have been found to help with liver function should be taken with the guidance of a doctor or herb expert. Two common one are milk thistle and dandelion supplements.

    Milk thistle is considered the best supplement for liver health. Its powerful ingredients are flavonoids that protect against an unhealthy thickening of the liver, inflammation, and may help prime the body's immune system and antioxidant system.

    Though its use is not supported by the reams of data I like to see, the evidence does suggest some positive effects, as well as confirms safety. The dose is 80 to 200 mg one to three times a day.

    Dandelion is a member of the sunflower family, and one of the most nutrient-rich plants there is. The whole plant is edible, but the herb is a source of potassium, sodium, phosphorous, and iron, as well as vitamin A. The recommended supplement dose is 900 mg a day.

    Dandelion has a number of laboratory studies to suggest it protects hepatocytes, however good clinical data from humans is lacking.
    More Related Answers from Dr. Michael Roizen
    Because of their lack of standard dosing and potential interaction with other drugs, certain supplements that have been found to help with liver function should be taken with the guidance of a doctor or herb expert. Two common one are milk thistle... More
  2. dotFIT
     
    dotFIT answered:

    We can’t think of a reason to take supplements for your liver unless: 1) a qualified physician recommends a supplement to treat a liver health condition, in which case you will have discussed with him/her or 2) you are significantly overweight leading to a non-alcohol induced fatty liver, which can cause oxidative stress and improper liver signaling. Lipotropic-type supplements are often recommended for the latter condition. Below are common supplements used for liver health/support that you may discuss with your doctor:

    Choline is a lipotropic agent that has been shown to hasten the removal of fat from the liver. Choline is also the starting material for several important compounds including the compounds involved with the secretion of very low density lipoproteins (VLDL) thus, again, helping to rid the liver of fat. Recently the Institute of Medicine (IOM) established the adequate intake (AI) of choline at 425-550 mg/day for women and men, respectively, and that choline deficiency can have a negative impact on different disease states especially related to fatty livers. There is now evidence that current choline recommendations may be suboptimal for a large percentage of the population and that many others may have intakes below even the current recommendations.

    Milk Thistle has been used safely for centuries in treatment of liver problems including improving circulation, maintaining the integrity of liver cell membranes while increasing liver’s regenerative ability and formation of new cells. Milk thistle also exhibits antiviral, anti-inflammatory, and immunomodulatory functions in human liver and immune cells.

    N-Acetyl cysteine (NAC) acts as an antioxidant and hepatoprotectant in order to help combat oxidative stress, including that brought on by accumulating fat in the liver.

    More Related Answers from dotFIT
    We can’t think of a reason to take supplements for your liver unless: 1) a qualified physician recommends a supplement to treat a liver health condition, in which case you will have discussed with him/her or 2) you are significantly overweight... More