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Milk Thistle or Tyler's Liver detox?

WannaBeBig72 said:
Milk Thistle has only been shown to work on organic toxins like mushrooms? Where did you read that? I've actually done a little research on this topic and this is from Webmd.

Milk thistle is used as a complementary treatment for liver problems, particularly long-term (chronic) hepatitis and cirrhosis and inflammation of the bile ducts (cholangitis). Research on silymarin suggests that it may protect the liver from inflammation. However, no evidence indicates that it has a direct effect on viruses that cause hepatitis, such as the hepatitis C virus.1

Research in animals and preliminary research in humans suggests that silymarin is an antioxidant, which helps protect the body from cell-destroying substances called free radicals. Silymarin also may reduce inflammation and block the effects of toxins that harm the liver.

I don't do milk thistle cause it's in the same family of weeds (ambrosia) as ragweed, thus probably allergic to it as well
 
gjohnson5 said:
Coming from a person with a history of elevated liver enzymes and just got his blood work done, I think sesamin has helped me alot

I have a liver history as well. Sesamin has helped you? How much do you take? Do you take Sesamax? I would think the Glucorell would help too.
My MD has me on Milk Thistle and Brewed Sen-Cha (Green Tea) 3x day.
So far so good.
 
thePros.TV said:
I have a liver history as well. Sesamin has helped you? How much do you take? Do you take Sesamax? I would think the Glucorell would help too.
My MD has me on Milk Thistle and Brewed Sen-Cha (Green Tea) 3x day.
So far so good.


My liver and cholesterol values just came back normal from a blood test after moving ascross country. The only thing I've changed is added Sesamax
 
WannaBeBig72 said:
Milk Thistle has only been shown to work on organic toxins like mushrooms? Where did you read that? I've actually done a little research on this topic and this is from Webmd.

Milk thistle is used as a complementary treatment for liver problems, particularly long-term (chronic) hepatitis and cirrhosis and inflammation of the bile ducts (cholangitis). Research on silymarin suggests that it may protect the liver from inflammation. However, no evidence indicates that it has a direct effect on viruses that cause hepatitis, such as the hepatitis C virus.1

Research in animals and preliminary research in humans suggests that silymarin is an antioxidant, which helps protect the body from cell-destroying substances called free radicals. Silymarin also may reduce inflammation and block the effects of toxins that harm the liver.


Because they use MT to treat alcoholic cirrhosis doesn't mean it protects your liver from alcohol or chemical toxins. They use high doses of Oxandrolone to treat the same condition and Oxandrolone itself is liver toxic.

MT "in research animals" is a good anti-oxidant and MAY block the effects of toxin. But again it doesn't say what kind. The only human studies were done showing it's benefit in protecting against poison mushroom and that study was flawed. But at least it was a study.

Here are REAL reviews on MT (Silymarin) and basically they've found little or no evidence it has any true medical value in terms of liver protect.

BioDrugs 2001;15(7):465-89 Related Articles, Books, LinkOut


Silymarin: a review of its clinical properties in the management of hepatic disorders.

Wellington K, Jarvis B.

Adis International Limited, Auckland, New Zealand. [email protected]

The mechanisms of action of silymarin involve different biochemical events, such as the stimulation of the synthetic rate of ribosomal RNA (rRNA) species through stimulation of polymerase I and rRNA transcription, protecting the cell membrane from radical-induced damage and blockage of the uptake of toxins such as alpha-amanitin. Studies in patients with liver disease have shown that silymarin increases superoxide dismutase (SOD) activity of lymphocytes and erythrocytes, as well as the expression of SOD in lymphocytes. Silymarin has also been shown to increase patient serum levels of glutathione and glutathione peroxidase. Silybin 20 to 48 mg/kg/day has shown promise as a clinical antidote to acute Amanita (deathcap mushroom) poisoning. Primary efficacy data from 3 trials which examined the therapeutic potential of silymarin in patients with cirrhosis, and included patient survival as an end-point, demonstrated that silymarin had no significant beneficial effect on patient mortality. However, upon subanalysis, silymarin 420 mg/day had a significantly beneficial effect on patient survival rate (compared with patients receiving placebo) in 1 randomised, double-blind trial in patients with alcoholic cirrhosis. Silymarin 420 mg/day was also shown to improve indices of liver function [AST, ALT, gamma-glutamyl transferase and bilirubin] in patients with liver disease of various aetiology, including those exposed to toxic levels of toluene or xylene; however, it was largely ineffective in patients with viral hepatitis. Reports of adverse events while receiving silymarin therapy are rare. However, there have been accounts of nausea, epigastric discomfort, arthralgia, pruritus, headache and urticaria. Silymarin has also been reported to have possibly caused a mild laxative effect. CONCLUSION: The antioxidant properties of silymarin (a mixture of at least 4 closely related flavonolignans, 60 to 70% of which is a mixture of 2 diastereomers of silybin) have been demonstrated in vitro and in animal and human studies. However, studies evaluating relevant health outcomes associated with these properties are lacking. Although silymarin has low oral absorption, oral dosages of 420 mg/day have shown some therapeutic potential, with good tolerability, in the treatment of alcoholic cirrhosis. Moreover, silybin 20 to 48 mg/kg/day has shown promise as an antidote for acute mushroom poisoning by Amanita phalloides; however, further studies paying attention to the amount of ingested mushroom and time elapsed before administration of treatment are needed to clarify its role in this indication. Studies in patients with the early onset of liver disease may demonstrate the liver regeneration properties that silymarin is promoted as possessing.

Drugs 2001;61(14):2035-63 Related Articles, Books, LinkOut


The use of silymarin in the treatment of liver diseases.

Saller R, Meier R, Brignoli R.

Abteilung Naturheilkunde, University Hospital Zurich, Switzerland.

The high prevalence of liver diseases such as chronic hepatitis and cirrhosis underscores the need for efficient and cost-effective treatments. The potential benefit of silymarin (extracted from the seeds of Silybum marianum or milk thistle) in the treatment of liver diseases remains a controversial issue. Therefore, the objective of this review is to assess the clinical efficacy and safety of silymarin by application of systematic approach. 525 references were found in the databases, of which 84 papers were retained for closer examination and 36 were deemed suitable for detailed analysis. Silymarin has metabolic and cell-regulating effects at concentrations found in clinical conditions, namely carrier-mediated regulation of cell membrane permeability, inhibition of the 5-lipoxygenase pathway, scavenging of reactive oxygen species (ROS) of the R-OH type and action on DNA-expression, for example, via suppression of nuclear factor (NF)-kappaB. Pooled data from case record studies involving 452 patients with Amanita phalloides poisoning show a highly significant difference in mortality in favour of silibinin [the main isomer contained in silymarin] (mortality 9.8% vs 18.3% with standard treatment; p < 0.01). The available trials in patients with toxic (e.g. solvents) or iatrogenic (e.g. antispychotic or tacrine) liver diseases, which are mostly outdated and underpowered, do not enable any valid conclusions to be drawn on the value of silymarin. The exception is an improved clinical tolerance of tacrine. In spite of some positive results in patients with acute viral hepatitis, no formally valid conclusion can be drawn regarding the value of silymarin in the treatment of these infections. Although there were no clinical end-points in the four trials considered in patients with alcoholic liver disease, histological findings were reported as improved in two out of two trials, improvement of prothrombin time was significant (two trials pooled) and liver transaminase levels were consistently lower in the silymarin-treated groups. Therefore, silymarin may be of use as an adjuvant in the therapy of alcoholic liver disease. Analysis was performed on five trials with a total of 602 patients with liver cirrhosis. The evidence shows that, compared with placebo, silymarin produces a nonsignificant reduction of total mortality by -4.2% [odds ratio (OR) 0.75 (0.5 - 1.1)]; but that, on the other hand, the use of silymarin leads to a significant reduction in liver-related mortality of-7% [OR: 0.54 (0.3 - 0.9); p < 0.01]. An individual trial reported a reduction in the number of patients with encephalopathy of -8.7% [p = 0.06). In one study of patients with cirrhosis-related diabetes mellitus, the insulin requirement was reduced by -25% [p < 0.01). We conclude that available evidence suggests that silymarin may play a role in the therapy of [alcoholic) liver cirrhosis. Silymarin is has a good safety record and only rare case reports of gastrointestinal disturbances and allergic skin rashes have been published. This review does not aim to replace future prospective trials aiming to provide the 'final' evidence of the efficacy of silymarin.
 
Ulter said:
Because they use MT to treat alcoholic cirrhosis doesn't mean it protects your liver from alcohol or chemical toxins. They use high doses of Oxandrolone to treat the same condition and Oxandrolone itself is liver toxic.

MT "in research animals" is a good anti-oxidant and MAY block the effects of toxin. But again it doesn't say what kind. The only human studies were done showing it's benefit in protecting against poison mushroom and that study was flawed. But at least it was a study.

Here are REAL reviews on MT (Silymarin) and basically they've found little or no evidence it has any true medical value in terms of liver protect.

BioDrugs 2001;15(7):465-89 Related Articles, Books, LinkOut


Silymarin: a review of its clinical properties in the management of hepatic disorders.

Wellington K, Jarvis B.

Adis International Limited, Auckland, New Zealand. [email protected]

The mechanisms of action of silymarin involve different biochemical events, such as the stimulation of the synthetic rate of ribosomal RNA (rRNA) species through stimulation of polymerase I and rRNA transcription, protecting the cell membrane from radical-induced damage and blockage of the uptake of toxins such as alpha-amanitin. Studies in patients with liver disease have shown that silymarin increases superoxide dismutase (SOD) activity of lymphocytes and erythrocytes, as well as the expression of SOD in lymphocytes. Silymarin has also been shown to increase patient serum levels of glutathione and glutathione peroxidase. Silybin 20 to 48 mg/kg/day has shown promise as a clinical antidote to acute Amanita (deathcap mushroom) poisoning. Primary efficacy data from 3 trials which examined the therapeutic potential of silymarin in patients with cirrhosis, and included patient survival as an end-point, demonstrated that silymarin had no significant beneficial effect on patient mortality. However, upon subanalysis, silymarin 420 mg/day had a significantly beneficial effect on patient survival rate (compared with patients receiving placebo) in 1 randomised, double-blind trial in patients with alcoholic cirrhosis. Silymarin 420 mg/day was also shown to improve indices of liver function [AST, ALT, gamma-glutamyl transferase and bilirubin] in patients with liver disease of various aetiology, including those exposed to toxic levels of toluene or xylene; however, it was largely ineffective in patients with viral hepatitis. Reports of adverse events while receiving silymarin therapy are rare. However, there have been accounts of nausea, epigastric discomfort, arthralgia, pruritus, headache and urticaria. Silymarin has also been reported to have possibly caused a mild laxative effect. CONCLUSION: The antioxidant properties of silymarin (a mixture of at least 4 closely related flavonolignans, 60 to 70% of which is a mixture of 2 diastereomers of silybin) have been demonstrated in vitro and in animal and human studies. However, studies evaluating relevant health outcomes associated with these properties are lacking. Although silymarin has low oral absorption, oral dosages of 420 mg/day have shown some therapeutic potential, with good tolerability, in the treatment of alcoholic cirrhosis. Moreover, silybin 20 to 48 mg/kg/day has shown promise as an antidote for acute mushroom poisoning by Amanita phalloides; however, further studies paying attention to the amount of ingested mushroom and time elapsed before administration of treatment are needed to clarify its role in this indication. Studies in patients with the early onset of liver disease may demonstrate the liver regeneration properties that silymarin is promoted as possessing.

Drugs 2001;61(14):2035-63 Related Articles, Books, LinkOut


The use of silymarin in the treatment of liver diseases.

Saller R, Meier R, Brignoli R.

Abteilung Naturheilkunde, University Hospital Zurich, Switzerland.

The high prevalence of liver diseases such as chronic hepatitis and cirrhosis underscores the need for efficient and cost-effective treatments. The potential benefit of silymarin (extracted from the seeds of Silybum marianum or milk thistle) in the treatment of liver diseases remains a controversial issue. Therefore, the objective of this review is to assess the clinical efficacy and safety of silymarin by application of systematic approach. 525 references were found in the databases, of which 84 papers were retained for closer examination and 36 were deemed suitable for detailed analysis. Silymarin has metabolic and cell-regulating effects at concentrations found in clinical conditions, namely carrier-mediated regulation of cell membrane permeability, inhibition of the 5-lipoxygenase pathway, scavenging of reactive oxygen species (ROS) of the R-OH type and action on DNA-expression, for example, via suppression of nuclear factor (NF)-kappaB. Pooled data from case record studies involving 452 patients with Amanita phalloides poisoning show a highly significant difference in mortality in favour of silibinin [the main isomer contained in silymarin] (mortality 9.8% vs 18.3% with standard treatment; p < 0.01). The available trials in patients with toxic (e.g. solvents) or iatrogenic (e.g. antispychotic or tacrine) liver diseases, which are mostly outdated and underpowered, do not enable any valid conclusions to be drawn on the value of silymarin. The exception is an improved clinical tolerance of tacrine. In spite of some positive results in patients with acute viral hepatitis, no formally valid conclusion can be drawn regarding the value of silymarin in the treatment of these infections. Although there were no clinical end-points in the four trials considered in patients with alcoholic liver disease, histological findings were reported as improved in two out of two trials, improvement of prothrombin time was significant (two trials pooled) and liver transaminase levels were consistently lower in the silymarin-treated groups. Therefore, silymarin may be of use as an adjuvant in the therapy of alcoholic liver disease. Analysis was performed on five trials with a total of 602 patients with liver cirrhosis. The evidence shows that, compared with placebo, silymarin produces a nonsignificant reduction of total mortality by -4.2% [odds ratio (OR) 0.75 (0.5 - 1.1)]; but that, on the other hand, the use of silymarin leads to a significant reduction in liver-related mortality of-7% [OR: 0.54 (0.3 - 0.9); p < 0.01]. An individual trial reported a reduction in the number of patients with encephalopathy of -8.7% [p = 0.06). In one study of patients with cirrhosis-related diabetes mellitus, the insulin requirement was reduced by -25% [p < 0.01). We conclude that available evidence suggests that silymarin may play a role in the therapy of [alcoholic) liver cirrhosis. Silymarin is has a good safety record and only rare case reports of gastrointestinal disturbances and allergic skin rashes have been published. This review does not aim to replace future prospective trials aiming to provide the 'final' evidence of the efficacy of silymarin.


I'm sorry I don't want to be an ass, but the other day I read about you and someone having a discussion cause he asked about research studies on your supplements. And you told him there just aren't any cause to do those studies would cost way too much.

Now that you want to make your point in showing that milk thistle isn't really any good, you start saying there arent any good studies backing its claims and/or studies are flawed. Kind of measuring with two standards eh, or am I wrong in my observation.

I've used both by the way, Milk Thistle and Tylers, but dont have before-after comparison data, since it's hard to get approval for those tests here in The Netherlands. Don't know if one worked better than the other.I had one test done and the liver values were good.
 
You'd make a good republican pundit. You change my words and then hand them back all scrabbled so you can argue something that wasn't said in the first place.

I'm sorry I don't want to be an ass, but the other day I read about you and someone having a discussion cause he asked about research studies on your supplements. And you told him there just aren't any cause to do those studies would cost way too much.

I never said there is no research on supplements. I said no one does human trial research on their own supplements simply to prove their effectiveness. You should paid better attention. There are over a hundred studies on the supplement we were arguing about. Most the time supplement studies are very weak because they are poorly funded.

Now that you want to make your point in showing that milk thistle isn't really any good, you start saying there arent any good studies backing its claims and/or studies are flawed. Kind of measuring with two standards eh, or am I wrong in my observation.

Yes you're wrong in your observation. I am posting a study and I am showing a review of studies that were done using MT. The review says that after going over all the weak studies on MT that when "evaluating relevant health outcomes associated with these properties are lacking" So my standard is pretty much the same. There are studies but they don't show much.
 
Ulter said:
You'd make a good republican pundit. You change my words and then hand them back all scrabbled so you can argue something that wasn't said in the first place.



I never said there is no research on supplements. I said no one does human trial research on their own supplements simply to prove their effectiveness. You should paid better attention. There are over a hundred studies on the supplement we were arguing about. Most the time supplement studies are very weak because they are poorly funded.



Yes you're wrong in your observation. I am posting a study and I am showing a review of studies that were done using MT. The review says that after going over all the weak studies on MT that when "evaluating relevant health outcomes associated with these properties are lacking" So my standard is pretty much the same. There are studies but they don't show much.

BTW Tyler uses one of the few ingredients that actually has human studies to back it up. In fact the patent is held by Ohio State University and in it they did a very substantial study. They are not a supp company showing the effectiveness of their supp. They are the largest University in US and they happen to have a researcher that discovered it. It's that kind of circumstance where a supp can get human trials. I don't know of many others.
 
Ulter said:
BTW Tyler uses one of the few ingredients that actually has human studies to back it up. In fact the patent is held by Ohio State University and in it they did a very substantial study. They are not a supp company showing the effectiveness of their supp. They are the largest University in US and they happen to have a researcher that discovered it. It's that kind of circumstance where a supp can get human trials. I don't know of many others.


Ulter, you da man!!! :garza:
 
Effects of silymarin flavonolignans and synthetic silybin derivatives on estrogen and aryl hydrocarbon receptor activation.

Pliskova M, Vondracek J, Kren V, Gazak R, Sedmera P, Walterova D, Psotova J, Simanek V, Machala M.

Veterinary Research Institute, Brno, Czech Republic.

Silymarin, a standardized mixture of flavonolignans, or its major constituents could be effective for prevention and treatment of hepatic damage or skin cancer. However, their potential side effects, such as modulation of endocrine functions via the disruption of estrogen receptor (ER) and/or aryl hydrocarbon receptor (AhR) activation, are largely unknown. In the present study, we investigated impact of silymarin, its constituents and a series of their synthetic derivatives on ER- and AhR-mediated activities using in vitro reporter gene assays. We found that none of the compounds under study affected the AhR-mediated activity in rat hepatoma cells. Contrary to that, several compounds behaved as either partial or full ER agonists. Silymarin elicited partial ER activation, with silybin B being probably responsible for a majority of the weak ER-mediated activity of silymarin; silybin A and other flavonolignans were found to be inactive and potent ER agonist taxifolin is only a minor constituent of silymarin. To our knowledge, this is probably the first time, when receptor-specific in vitro effects of separated diastereomers have been demonstrated. In contrast to silymarin constituents, the synthetic silybin derivatives, potentially useful as chemoprotective agents, did not modulate the ER-mediated activity, with exception of 23-O-pivaloylsilybin. Interestingly, 7-O-benzylsilybin potentiated ER-mediated activity of 17beta-estradiol despite possessing no estrogenic activity. In conclusion, our data suggest that estrogenicity of some silymarin constituents should be taken in account as their potential side effect when considered as chemopreventive compounds. These results also stress the need to study biological activities of purified or synthesized diastereomers of silybin derivatives.
 
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