Milk thistle
Milk thistle
Milk thistle, commonly known as silymarin, is a plant named for the white veins on its large prickly leaves. It is native to Mediterranean countries. Some people also call it Mary thistle or holy thistle.
In earlier times, people have used Milk thistle to treat liver disorders. The plant contains an active ingredient called silymarin which is extracted from the seeds. Silymarin is believed to have antioxidant properties[1] which help in managing liver-related problems. Milk thistle is also considered a potent agent in managing diabetes and its complications.
There have been studies on the beneficial role of Milk thistle in the treatment of acne, liver ailments, indigestion, hay fever, etc. However, it is unclear if oral consumption of Milk thistle alone is beneficial in patients with these ailments.
Milk thistle when taken in the prescribed dose and duration is considered safe for use. However, if you are suffering from any chronic disease, it would be best to avoid self-medication and consult a doctor before using a Milk thistle.
In some cases, Milk thistle may cause side effects, like abdominal bloating, diarrhea, dyspepsia, flatulence, and nausea. However, in some rare cases, oral intake of Milk thistle may cause allergic reactions.
In earlier times, people have used Milk thistle to treat liver disorders. The plant contains an active ingredient called silymarin which is extracted from the seeds. Silymarin is believed to have antioxidant properties[1] which help in managing liver-related problems. Milk thistle is also considered a potent agent in managing diabetes and its complications.
There have been studies on the beneficial role of Milk thistle in the treatment of acne, liver ailments, indigestion, hay fever, etc. However, it is unclear if oral consumption of Milk thistle alone is beneficial in patients with these ailments.
Milk thistle when taken in the prescribed dose and duration is considered safe for use. However, if you are suffering from any chronic disease, it would be best to avoid self-medication and consult a doctor before using a Milk thistle.
In some cases, Milk thistle may cause side effects, like abdominal bloating, diarrhea, dyspepsia, flatulence, and nausea. However, in some rare cases, oral intake of Milk thistle may cause allergic reactions.
What are the synonyms of Milk thistle?
Silybum marianum , Cardo Lechoso, Artichaut Sauvage, Carduus Marianum, Holy Thistle, Lady's Thistle, Marian Thistle, Mary Thistle, Our Lady's Thistle, Blessed Milk, Saint Mary's thistle, Mariendistel, Chardon de Marie
What is the source of Milk thistle?
Plant Based
Benefits of Milk thistle

Modern Science View
Milk thistle helps reduce insulin resistance and thus improves glucose uptake from the blood. This helps in managing diabetes and its associated complications.[2].
Tip
-Take Milk thistle 1-2 capsules or as directed by the physician
-Have it once or twice a day, preferably after meals
# To regulate blood sugar levels.
Tip
-Take Milk thistle 1-2 capsules or as directed by the physician
-Have it once or twice a day, preferably after meals
# To regulate blood sugar levels.

Modern Science View
Liver diseases or problems could be due to genetic reasons or as a result of various factors that damage the liver, such as viruses, excess alcohol use, and obesity. Various studies on Milk thistle have shown mixed results on its beneficial effect on liver diseases such as cirrhosis and hepatitis C[4]. Some evidence suggests that Milk thistle can treat cirrhosis and chronic hepatitis, which can be caused by alcohol abuse, autoimmune disease, or viruses. However, any conclusive result regarding its direct effect is not yet found[5].
Tip
-Take Milk thistle 1-2 tablets or as directed by the physician
-Have it once or twice a day, preferably after meals’
# To improve liver function.
Tip
-Take Milk thistle 1-2 tablets or as directed by the physician
-Have it once or twice a day, preferably after meals’
# To improve liver function.

Modern Science View
Acne is a common skin condition that occurs when oil glands on the skin get clogged with oil and dead skin cells. It causes pimples that develop deep in the skin, causing red, swollen, and painful bumps. Studies have shown that Milk thistle is rich in flavonoids. Silymarin is one such flavonoid that has antioxidant and anti-inflammatory activities. These properties may have beneficial effects in treating acne. However, more evidence is required to suggest its direct and effective result in the treatment of acne when taken orally[3].

Modern Science View
Indigestion refers to a sensation of pain or discomfort in the upper abdominal region. One may also experience a feeling of fullness and bloating. According to a study, Milk thistle when used in combination with other supplements may help improve the symptoms of indigestion [4].

Modern Science View
Diabetic neuropathy is a serious and common complication seen in diabetic patients. It is a type of nerve damage that can occur with high blood sugar (glucose) levels. It can injure nerves throughout your body, especially your legs or feet. According to a study, silymarin present in Milk thistle is considered to show positive results in preventing the progression of diabetic neuropathy[6].

Modern Science View
Alzheimer's disease is a neurological condition in which the brain cells start to die. It is the most common cause of dementia, a continuous decline in memory, behavioral and social skills that impact a person's ability to function independently. Some studies on Milk thistle have suggested that certain constituents present in the plant may help in improving or limiting neurological conditions like Alzheimer’s disease. However, more data is required to get a conclusive result on the impact of Milk thistle on more advanced diseases [9].

Modern Science View
The human body requires cholesterol to build healthy cells. However, increased levels of cholesterol in the body can increase your risk of heart disease. Milk thistle may help lower the level of total cholesterol, bad cholesterol, or low-density lipoprotein (LDL). This is due to the presence of an important flavonoid named silymarin[10].

Modern Science View
Hay fever is also called allergic rhinitis. It causes cold-like signs and symptoms, such as a runny nose, itchy eyes, congestion, and sneezing. Preliminary clinical trials have shown that supplements containing Milk thistle as an ingredient may help reduce the severity of allergic rhinitis symptoms. However, enough evidence is not available to suggest its direct beneficial effect on the ailment[11].
How effective is Milk thistle?
Likely effective
Diabetes
Insufficient evidence
Acne, Alzheimer's disease, High cholesterol, Indigestion, Liver disease, Nasal allergy symptoms, Neuropathic pain
Precautions when using Milk thistle
Allergy

Modern Science View
People who are sensitive to the plant Milk thistle or Asteraceae/Compositae plant family may experience an allergic reaction.
Breastfeeding

Modern Science View
Enough information is not available to suggest whether it is safe to use milk thistle during breastfeeding.
Patients with diabetes

Modern Science View
Diabetes: Milk thistle may lower blood sugar levels in people with type 2 diabetes. Consult your doctor before using if your blood sugar level is already low.
Pregnancy

Modern Science View
Enough information is not available to suggest whether it is safe to use milk thistle during pregnancy.
Recommended Dosage of Milk thistle
- Milk thistle Capsule - 1-2 capsules once or twice a day after meals or as directed by your physician
- Milk thistle Powder - ¼-½ teaspoon once or twice a day after meals or as directed by your physician
- Milk thistle Tablet - 1-2 tablets once or twice a day after meals or as directed by your physician
How to use Milk thistle
Milk thistle capsule
-Take Milk thistle 1-2 capsules or as directed by the physician
-Have it once or twice a day, preferably after meals
#To regulate blood sugar levels.
Milk thistle tablet
-Take Milk thistle 1-2 tablets or as directed by the physician
-Have it once or twice a day, preferably after meals
#To improve liver function.
Milk thistle powder
-Take Milk thistle powder ¼-½ teaspoon or as directed by the physician
-Have it once or twice with water, preferably after meals
#To manage the normal levels of cholesterol
Milk thistle tea
-Take leaves or seeds of the plant in hot water and let it simmer for a bit.
-Pour the liquid after clearing out the residue
-Have it once or twice a day, preferably after meals
#To get quick help to improve digestion
-Take Milk thistle 1-2 capsules or as directed by the physician
-Have it once or twice a day, preferably after meals
#To regulate blood sugar levels.
Milk thistle tablet
-Take Milk thistle 1-2 tablets or as directed by the physician
-Have it once or twice a day, preferably after meals
#To improve liver function.
Milk thistle powder
-Take Milk thistle powder ¼-½ teaspoon or as directed by the physician
-Have it once or twice with water, preferably after meals
#To manage the normal levels of cholesterol
Milk thistle tea
-Take leaves or seeds of the plant in hot water and let it simmer for a bit.
-Pour the liquid after clearing out the residue
-Have it once or twice a day, preferably after meals
#To get quick help to improve digestion
References
- Morteza MS, Hayati Z, Namazi N, Abdollahimajd F. Efficacy and safety of oral silymarin in comparison with oral doxycycline and their combination therapy in the treatment of acne vulgaris. Dermatol Ther. 2019 Nov;32(6):e13095.
- Fallahzadeh MK, Dormanesh B, Mahdi Sagheb MM. Effect of addition of silymarin to renin-angiotensin system inhibitors on proteinuria in type 2 diabetic patients with overt nephropathy: a randomized, double-blind, placebo-controlled trial. Am J Kidney Dis. 2012 Dec;60(6):896-903.
- Choi YH , Jin GY, Guo HS et al., Silibinin attenuates allergic airway inflammation in mice. Biochem Biophys Res Commun. 2012 Oct 26;427(3):450-5.
- Font-Réaulx Rojas E and Dorazco-Barragan G. Clinical stabilisation in neurodegenerative diseases: clinical study in phase II. Rev Neurol. 2010 May 1;50(9):520-8.
- Vidlar A, Vostalova J, Ulrichova J. et al. The safety and efficacy of a silymarin and selenium combination in men after radical prostatectomy - a six month placebo-controlled double-blind clinical trial. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010 Sep;154(3):239-44. doi: 10.5507/bp.2010.036.
Disclaimer
The content is purely informative and educational in nature and should not be construed as medical advice. Please use the content only in consultation with an appropriate certified medical or healthcare professional.