Selection criteria: Anabolic-androgenic steroids for alcoholic liver disease. 5. Alcohol and hepatotoxic viruses cause the majority of liver diseases. Silymarin, an herb and extract of milk thistle seeds, is a supplement commonly taken by hepatitis patients across the world, yet its proven benefits remain controversial. There were no differences in the risk of any liver complications (analysis 3.4, p 59) (note: results for people with HBV not available), There was no effect on fibrosis score (analysis 3.13, p 67) (note: single study in alcoholic liver disease). Rusu, E., Jinga, M., Enache, G., Rusu, F., Dragomir, A. D., Ancuta, I., Draguţ, R., Parpala, C., Nan, R., Sima, I., Ateia, S., Stoica, V., Cheţa, D. M., Radulian, G. (2013). There was no difference in mortality (analysis 1.1, p 39) or liver-related mortality (analysis 2.1, p 53) (note: there were no deaths in the studies of participants with viral hepatitis). To assess the beneficial and harmful effects of milk thistle or milk thistle constituents versus placebo or no intervention in patients with alcoholic liver disease and/or viral liver diseases (hepatitis B and hepatitis C). There is no clear evidence that milk thistle cures HBV infection. doi: 10.1002/14651858.CD003620.pub2. Hepatology (Baltimore, Md. Authors' conclusions: Since you indicated no treatment for your hep B thus far, have you figure milk thistle may help your viral load at all or ALT, AST levels? Interventions encompassed milk thistle at any dose or duration versus placebo or no intervention. Of the evidence that does exist, there does not appear to be any dramatic beneficial effects, and the possibility that there may be no meaningful therapeutic effects seems likely. Pharm Biol. Background: This herb is believed to have possible benefits on liver health due to its antioxidant and free radical fighting properties, although no … Polyak, S. J., Ferenci, P., & Pawlotsky, J. M. (2013). Another 2013 metanalysis reviewed 8 studies which tested silymarin against a placebo and looked for measurable levels of improvement in ALT scores, of which the results were mixed and inconsistent1. USA Mostly. HHS Phone: 215.489.4900 Milk thistle for alcoholic and/or hepatitis B or C virus liver diseases. Fax: 215-489-4920 In people who do not have a vitamin B deficiency and have adequate dietary intake, extra amounts provided by supplements simply pass from the body in the urine. Unclear. There was little heterogeneity in the results as presented, though given the small number of studies, there were not many direct comparisons. Binary outcomes are reported as relative risks (RR) with 95% confidence interval (CI). Many professional herbalists recommend milk thistle extract for the prevention and/or treatment of various liver disorders including viral hepatitis, fatty liver associated with long term alcohol use, and liver damage from drugs and industrial toxins such as carbon tetrachloride. 2017 Oct;23(10):812-818. doi: 10.1089/acm.2016.0224. He is actively involved in mental health policy, strategy, and governance, with local, state, and national bodies. There did not appear to be a more appropriate or newer paper. 64-65).  |  Comments on this blog are closed. Eighteen randomised clinical trials assessed milk thistle in 1088 patients with alcoholic and/or hepatitis B or C virus liver diseases. Much of the research is unreliable due to poor scientific method, so it’s difficult to sort out the facts. Data collection and analysis: JAMA 2012 Jul 18;308(3):274-82. My interpretation of the evidence is that it is insufficient to provide an estimate of the effect of milk thistle on chronic hepatitis B. Post was not sent - check your email addresses! Cochrane database of systematic reviews (Online). But it’s important to understand th… I conducted a search using the TripDatabase PICO search tool (Participant: “hepatitis B”, Intervention: “milk thistle”, Comparator:  “placebo”, Outcomes: blank). 1. Stat Facts Sample-size calculation Systematic Review: Are the results of the review valid? Although the authors searched multiple electronic databases, and approached the principal authors of the identified trials and the manufacturers of milk thistle products to enquire about any relevant unidentified or unpublished randomised trials, this systematic review is close to 12 years out-of-date. Doylestown, PA 18902 Get the latest public health information from CDC: https://www.coronavirus.gov. Michael’s clinical interest is in the whole-person primary care of people living with mental illness. Duffy GF, Shupe ES, Kuczmarski MF, Zonderman AB, Evans MK. As mentioned in our previous blog post, the U.S. National Institutes for Health (NIH) has published a directory of what scientific research has discovered about common herbal supplements.

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