Milk Thistle
Liver-protective plant whose active compound is silymarin. Protects liver cells from oxidative damage.
💡 Absorption: Look for extracts standardized to 70-80% silymarin. Phytosomal form has better bioavailability.
⚠️ Caution: Generally safe. May interact with medications metabolized by CYP3A4 and CYP2C9.
Recommended doses
Range: 200 – 600 mg
Silymarin 70-80%. Split into 2-3 doses with food
⚕️ Medication interactions
Silymarin from milk thistle may enhance the hypoglycemic effect of metformin.
→ Monitorizar glucemia con mayor frecuencia al iniciar cardo mariano. Ajustar dosis de metformina si necesario.
📚 Scientific references (3)▼
Ensayo cruzado doble ciego en 16 participantes comparando formulación micelar vs. estándar de silimarina. La formulación micelar mostró 18,9x mayor Cmax y 11,4x mayor AUC en 24h.
Revisión sistemática y metaanálisis de ECAs sobre silimarina en hígado graso no alcohólico (NAFLD/NASH). El 65,5% de estudios reportaron reducción de enzimas hepáticas.
Revision sistematica. Silimarina (cardo mariano) mostro hepatoproteccion significativa. Usado clinicamente en intoxicacion por Amanita.
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