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Supplements for Liver disease

Liver conditions including NAFLD/MASLD, fatty liver, elevated enzymes, and general hepatoprotection.

Showing 18 of 100 supplements with liver disease research
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Milk thistle

Silybum marianum Extract (Silymarin)

Most widely used liver-protective herb. Silymarin is the active flavonolignan complex. Used historically for mushroom poisoning. Strong mechanistic evidence for hepatoprotection.

Liver
Dose: 200-400 mg silymarin/day
Liver disease
Relevance
High
Evidence
Onset

NAC

N-Acetyl Cysteine

Precursor to glutathione, the body's master antioxidant. Originally a mucolytic drug, now used for liver protection (acetaminophen overdose antidote), respiratory health, and cochlear protection. One of the most versatile supplements.

TinnitusImmuneInflammation
Dose: 600-1200 mg/day
Liver disease
Relevance
High
Evidence
Onset

SAMe

S-Adenosyl-L-Methionine

Universal methyl donor involved in 200+ metabolic reactions. Prescription drug in Europe for depression and liver disease. Supports methylation, cartilage repair, and liver function.

LiverCognition
Dose: 400-1200 mg/day
Liver disease
Relevance
High
Evidence
Onset

Artichoke extract

Cynara scolymus Extract

Traditional Mediterranean remedy for liver and digestive health. Contains cynarin and chlorogenic acid. Evidence for cholesterol reduction and liver enzyme improvement.

LiverMetabolic syndrome
Dose: 600-1200 mg/day
Liver disease
Relevance
Moderate
Evidence
Onset

Berberine

Berberine HCl

Alkaloid from goldenseal and barberry. Activates AMPK, same pathway as metformin. Strong evidence for blood sugar and lipid management. Sometimes called 'nature's metformin.'

HeartMetabolic syndrome
Dose: 500-1000 mg/day
Liver disease
Relevance
Moderate
Evidence
Onset

Curcumin

Curcumin (Turmeric Extract)

Active compound in turmeric with broad anti-inflammatory and antioxidant effects. Poor bioavailability requires enhanced formulations (piperine, phytosome, nanoparticle). One of the most researched natural compounds.

CognitionHeartInflammation
Dose: 500-1000 mg/day
Liver disease
Relevance
Moderate
Evidence
Onset

Phosphatidylcholine

PC

Major phospholipid in cell membranes and a source of choline. Supports liver cell membrane integrity and bile function. Polyenylphosphatidylcholine (PPC) form is most studied for liver.

LiverCognition
Dose: 900-1800 mg/day
Liver disease
Relevance
Moderate
Evidence
Onset

Probiotics

Multi-Strain Probiotics

Live beneficial bacteria. Effects are highly strain-specific — different strains do different things. Gut microbiome influences virtually every organ system. Quality and strain selection matter enormously.

Metabolic syndromeCognition
Dose: Strain-dependent
Liver disease
Relevance
Moderate
Evidence
Onset

Schisandra

Schisandra chinensis Extract

Adaptogenic berry used in Traditional Chinese Medicine for 2,000+ years. Name means 'five-flavor berry.' Contains lignans (schisandrins) with hepatoprotective and cognitive-enhancing properties.

LiverCognition
Dose: 500-1000 mg extract/day
Liver disease
Relevance
Moderate
Evidence
Onset

Sulforaphane

Sulforaphane glucosinolate

Most potent natural activator of Nrf2 pathway — the body's master antioxidant defense system. Derived from broccoli sprouts. Upregulates hundreds of protective genes.

InflammationImmune
Dose: 10-50 mg/day
Liver disease
Relevance
Moderate
Evidence
Onset

Synbiotics

Synbiotic Blend (Probiotic + Prebiotic)

Combination of probiotics and prebiotics in a single product. The prebiotic component feeds the probiotic strains, theoretically improving colonization and efficacy.

Metabolic syndrome
Dose: Product-dependent
Liver disease
Relevance
Moderate
Evidence
Onset

Ashwagandha

Withania somnifera Extract

Adaptogenic herb from Ayurvedic medicine. Reduces cortisol, supports sleep, and may improve metabolic markers. KSM-66 and Sensoril are the most-studied standardized extracts.

SleepCognition
Dose: 300-600 mg/day
Liver disease
Relevance
Low
Evidence
Onset

Dandelion

Taraxacum officinale Extract

Traditional herbal remedy for liver and kidney support. Root is used for liver/digestion; leaf as a natural diuretic. Limited but growing clinical evidence.

Liver
Dose: 500-1000 mg root extract/day
Liver disease
Relevance
Low
Evidence
Onset

Green tea extract

Epigallocatechin Gallate (EGCG)

Concentrated polyphenol from green tea. EGCG is the primary active catechin. Supports metabolic rate, fat oxidation, and has neuroprotective properties. Liver safety concerns at high doses.

Metabolic syndromeCognition
Dose: Use with caution
Liver disease
Relevance
Low
Evidence
Onset

Lecithin

Soy/Sunflower Lecithin

Mixture of phospholipids including phosphatidylcholine, phosphatidylserine, and phosphatidylinositol. Common food additive also used as a supplement. Source of choline and phospholipids.

LiverCognition
Dose: 1-3 g/day
Liver disease
Relevance
Low
Evidence
Onset

Prebiotics

Prebiotic Fiber (Inulin/FOS)

Non-digestible fibers that feed beneficial gut bacteria. Inulin and FOS are the most common. Support gut microbiome diversity and short-chain fatty acid production.

Metabolic syndrome
Dose: 5-10 g/day
Liver disease
Relevance
Low
Evidence
Onset

Reishi

Ganoderma lucidum Extract

One of the most revered medicinal mushrooms in Asian medicine. Contains triterpenes and polysaccharides. Traditionally used for calming, liver support, and immune modulation.

SleepCognition
Dose: 1-3 g/day
Liver disease
Relevance
Low
Evidence
Onset

Spirulina

Arthrospira platensis

Blue-green microalgae with exceptional nutrient density. Rich in protein, B vitamins, iron, and phycocyanin (unique blue pigment with anti-inflammatory properties). One of the most nutrient-dense foods on Earth.

Metabolic syndromeHeart
Dose: 1-8 g/day
Liver disease
Relevance
Low
Evidence
Onset
How to read the scores

Relevance badges

HighDirectly studied for this condition
ModeratePlausible mechanism
LowWeak or indirect

Evidence & onset bars

Strong evidence / fast onset
Emerging / limited
Insufficient data

Safety strip

No significant concerns
Worth noting
Significant concern
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Beyond supplements

There are other evidence-based interventions studied for liver disease:

  • Weight loss (5-10%) Most effective intervention for NAFLD. Even modest weight loss significantly reduces liver fat and inflammation.
  • Coffee consumption 3-4 cups/day associated with reduced liver fibrosis, cirrhosis, and hepatocellular carcinoma risk across multiple meta-analyses.