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Re: Milk thistle

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A good review on milk thistle can be found at:

http://www.ahrq.gov/clinic/epcsums/milktsum.htm

The " active ingredient " of milk thistle is thought to be silymarin.

There are conflicting reports on the effectiveness of this compound

in liver disease.

Mayo clinic concludes that silymarin is not effective in the

treatment of primary biliary cirrhosis:

Angulo P, Patel T, nsen RA, Therneau TM, Lindor KD 2000

Silymarin in the treatment of patients with primary biliary

cirrhosis with a suboptimal response to ursodeoxycholic acid.

Hepatology 32: 897-900.

However, there are reports of positive effects of silymarin in

various animal models of liver disease. Just the other day there was

discussion here of the possible role of the female hormone estrogen

in PSC. It is well known that in animals, estrogen can induce

cholestatis, and silymarin seems to protect against this:

Crocenzi FA, Pozzi EJ, Pellegrino JM, Favre CO,

Garay EA, Mottino AD, R, Roma MG 2001 Beneficial effects of

silymarin on estrogen-induced cholestasis in the rat: a study in

vivo and in isolated hepatocyte couplets. Hepatology 34: 329-339.

For other studies on silymarin see:

http://www.psc-literature.org/silym.htm

Best regards,

Dave

(father of (19); PSC 07/03; UC 08/03)

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