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Catalyst

milk thistle extract (silymarin)Finding

Milk thistle extract (silymarin) has no detected effect on alanine aminotransferase

no difference foundModerate evidenceFindingreplicated ×1

01 · The sentence it was drawn from

“Median (interquartile range, IQR) of ALT levels in the silymarin and placebo groups were 32 (20, 184) and 35 (15, 415) IU/L, which were not significantly different (p = 0.455).”
Quoted verbatim from A double-blinded randomized controlled trial of silymarin for the prevention of antituberculosis drug-induced liver injury.
This finding among the 65 findings on its endpoint

milk thistle extract (silymarin)

Alanine aminotransferase

no difference found

Who
Adults with newly diagnosed pulmonary tuberculosis, all receiving isoniazid, rifampicin, pyrazinamide and ethambutol; ALT at week 4
Dose studied
140 mg three times daily with the antituberculosis drugs

Moderate evidencePMID 26400476 · 2015

02 · The study

Study
RCT
Duration
4 weeks

Evidence, by strength

  • strong
  • moderatethis finding
  • limited
  • very limited
  • insufficient

04 · To cite this finding

This address does not change

https://catalystproject.ai/e/01M6Y292VH5RM6XKZKW6HPSFEZ