The
liver is truly an amazing organ. It is considered the largest, solid internal
organ
1, it carries out highly complex roles in digestion, immunity,
blood volume regulation, endocrine control, and protein, lipid and cholesterol
metabolism, among others.
2
People
have also been treating liver conditions with silymarin for a very long time.
3 Silymarin is the active extract of the seeds and fruits
of Silybum marianum, milk thistle, a plant that has been used for
centuries in treating liver diseases.
3
Silymarin
(Legalon): Backed by Studies
However,
not all silymarin preparations are equal. The proprietary formulation Eurosil
85 of the Silymarin
(Legalon)
contains a clinically researched extract of milk thistle and has been shown in
clinical studies to support liver function in alcohol-induced liver disease.
4
Silymarin
exerts its hepatoprotective effects by working on several mechanisms of action:
(a) it reduces oxidative stress by acting as an antioxidant, free radical
scavenger, and regulator of the intracellular glutathione; (b) silymarin also
has an antifibrotic effect by preventing the activation of stellate liver cells
that leads to fibrosis; (c) it inhibits inflammatory mediators and especially Kupffer
cells, which are active in fibrogenesis; (d) lastly, silymarin acts as a cell
membrane stabilizer and permeability regulator, preventing toxic agents from
entering hepatocytes.
3
In a
narrative review by Gillessen and Schmidt, Silymarin (Legalon) was shown to
have positive effects as supportive treatment in liver diseases, such as NAFLDa, AFLDb, and chronic DILIc including cirrhosis.
3
Silymarin
is well tolerated, with a low incidence of adverse events reported in clinical
trials.
3
Availability
in the Philippines
Silymarin
(Legalon) 70mg is locally available over the counter as high quality
3,5
capsule when compared with silymarin food supplements that have no therapeutic
claims. It also comes in prescription-strength 140mg capsule, a
clinically-proven and well-documented liver-specific antioxidant preparation
for the supportive treatment of chronic inflammatory diseases of the liver such
as NAFLD
a, AFLD
b,
chronic DILI
c, and cirrhosis.
3,6a. Non-alcoholic fatty liver disease (NAFLD)
b. Alcoholic fatty liver disease (AFLD)
c. Drug-induced liver injury (DILI)
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ADVERTORIAL
References:
1. Newman, T. What does the liver do? Available
at https:// www.medicalnewstoday.com/articles/305075. Accessed on 13 April 2023
2. Trefts E. et al. The Liver. Curr
Biol. 2017;27:R1147-R1151.
3. Gillessen A, Schmidt HHJ. Adv Ther. 2020;37:1279-1301.
4. Abenavoli L. et al. Phytotherapy Research.
2018;32:2202-2213.
5. Madaus GmbH, Troisdorf, Germany–
CDRR-GMP-2432 | 17 June 2023
6. Silymarin (Legalon) Prescribing Information |
21.07.2020