Evidence supporting the use of: Milk thistle
For the health condition: Alcoholism

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Milk thistle (Silybum marianum) has a long history of traditional use for supporting liver health, particularly in Europe and the Mediterranean. The active compound, silymarin, is believed to have antioxidant, anti-inflammatory, and antifibrotic properties. In the context of alcoholism, milk thistle has traditionally been used to help protect and support liver function, as chronic alcohol consumption can lead to liver damage, including fatty liver, hepatitis, and cirrhosis. Historical texts and folk medicine have promoted milk thistle as a remedy for a variety of liver complaints, including those related to alcohol misuse.

However, while the traditional use is well-established, scientific evidence supporting its efficacy for treating alcoholism itself is limited. Most research has focused on milk thistle's hepatoprotective effects rather than its ability to treat alcohol dependence or withdrawal. Some small clinical studies suggest that silymarin may help improve liver function tests in people with alcoholic liver disease, but results are inconsistent and robust, large-scale trials are lacking. No compelling evidence demonstrates that milk thistle can help individuals reduce alcohol consumption, manage cravings, or address the psychological aspects of alcoholism. As such, milk thistle may play a supportive role in liver health for those with alcohol-related liver damage, but it should not be considered a treatment for alcoholism itself.

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