MILK THISTLE

With over 2,000 years of use as a natural remedy, milk thistle is certainly not new on the scene. In fact, Greek physician and botanist Dioscorides was the first to describe milk thistle’s healing properties all the way back in 40 A.D. While it’s known to offer a variety of health benefits, milk thistle is most renowned for its ability to support the liver, which is our largest internal organ and is responsible for performing a number of essential detoxifying functions.

Research suggests that silymarin, one of the active ingredients in milk thistle is an antioxidant, which helps protect the body from free radicals that damage our cells. Studies have also shown milk thistle’s potential to help promote gallbladder health as well as lower cholesterol.

 

AVAILABLE RESEARCH

Liver Support  

In this review, milk thistle is shown to have positive effects as supportive treatment in most forms of liver disease including cirrhosis and liver damage due to alcohol abuse. This is attributed to its antioxidant activity -- by reducing oxidative stress, milk thistle protects intact liver cells or cells not yet irreversibly damaged, and therefore may be considered liver protective.

Gillessen, A., Schmidt, H.HJ. Silymarin as Supportive Treatment in Liver Diseases: A Narrative Review. Adv Ther 37, 1279–1301 (2020).

 

In this review of the liver protective effects of milk thistle seed, it states that results of studies in experimental animal models suggest that milk thistle has a broad spectrum of liver-protective effects. 

Altınterim, Başar. (2013). Hepatoprotective effects of milk thistle seed (Silybum marianum). near east medical journal.

 

Prevention of Gallstones

This review concludes that milk thistle oil pre-treatment could prevent oxidative stress and liver injury as a result of its antioxidant properties.

Hermenean, Anca, Stan, Miruna, Ardelean, Aurel, Pilat, Luminița, Mihali, Ciprian Valentin, Popescu, Cristina, Nagy, Lajos, Deák, György, Zsuga, Miklós, Kéki, Sándor, Bácskay, Ildikó, Fenyvesi, Ferenc, Costache, Marieta, Dinischiotu, Anca and Vecsernyés, Miklós. "Antioxidant and hepatoprotective activity of milk thistle (Silybum marianum L. Gaertn.) seed oil" Open Life Sciences, vol. 10, no. 1, 2015. 

In this review it states that preclinical studies using different hepatotoxic (toxic to the liver) substan­ces showed that milk thistle has multiple actions as a liver protective agent. The antioxidant property and cell-regenerating functions as a result of increased protein synthesis are considered as most important.

Radko, Lidia et al. "Application of silymarin in human and animal medicine." J Pre Clin Clin Res., vol. 1, no. 1, 2007, pp. 22-26.

 

ADDITIONAL RESEARCH

Lowers Cholesterol

Preliminary studies show that when milk thistle is used in combination with other traditional treatment methods, it can improve levels of total cholesterol, bad LDL cholesterol and triglycerides.

Huseini HF, Larijani B, Heshmat R, Fakhrzadeh H, Radjabipour B, Toliat T, Raza M. The efficacy of Silybum marianum (L.) Gaertn. (silymarin) in the treatment of type II diabetes: a randomized, double-blind, placebo-controlled, clinical trial. Phytother Res. 2006 Dec;20(12):1036-9. doi: 10.1002/ptr.1988. PMID: 17072885.

 

According to this review, milk thistle has been shown to reduce the plasma levels of cholesterol and low-density lipoprotein in hyperlipidemic (medical term for abnormally high levels of fats in the blood, including cholesterol) animals.

Laboratory studies show that milk thistle reduced cholesterol synthesis in liver cells and also in prevention of complications of high cholesterol hypercholesterolemia rat and rabbit.

Bahmani M, Shirzad H, Rafieian S, Rafieian-Kopaei M. Silybum marianum: Beyond Hepatoprotection. J Evid Based Complementary Altern Med. 2015 Oct;20(4):292-301. doi: 10.1177/2156587215571116. Epub 2015 Feb 16. PMID: 25686616.

 

Diabetes Treatment

This study by the Department of Pharmacology at the Institute of Medicinal Plants found that when diabetic patients were given silymarin extract over a four-month period, their fasting blood sugar and insulin levels improved significantly compared to patients receiving a placebo.

Huseini HF, Larijani B, Heshmat R, Fakhrzadeh H, Radjabipour B, Toliat T, Raza M. The efficacy of Silybum marianum (L.) Gaertn. (silymarin) in the treatment of type II diabetes: a randomized, double-blind, placebo-controlled, clinical trial. Phytother Res. 2006 Dec;20(12):1036-9. doi: 10.1002/ptr.1988. PMID: 17072885.

 

This paper from the American Diabetes Association summarizes various studies that have shown the positive effects of milk thistle on individuals with diabetes.

Laura Shane-McWhorter, PharmD, BCPS, FASCP, BC-ADM, CDE Diabetes Spectrum 2009 Sep; 22(4): 206-213.