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Milk thistle
Milk thistle/Nutrient Depletion:
Calcium
Calcium: Studies have suggested that silymarin and silybin slow calcium metabolism (
22
).
Glucose
Glucose: Silymarin (e.g., Legalon?) has been reported to decrease fasting plasma glucose, HbA1c, and fasting insulin levels in patients with insulin-dependent diabetes (
30
;
31
;
32
;
33
;
34
;
35
;
36
; 37).
Iron
Iron: Studies have suggested that milk thistle may chelate iron (
22
). Treatment with a standardized silybin and soy phosphatidylcholine complex (IdB 1016) was associated with reduced body iron stores among patients with advanced Batts-Ludwig fibrosis and hepatitis C; an apparent effect on serum iron or transferrin-iron saturation was lacking (
163
). A reduced postprandial rise in serum iron level following the consumption of silybin (Legalon? Forte) has been observed in hereditary hemochromatosis patients (
12
). In patients with beta-thalassemia, adjunct administration of silymarin (Legalon?) to conventional desferrioxamine therapy decreased serum ferritin levels vs. baseline but lacked obvious treatment benefit vs. conventional therapy alone (
47
).
Lipids
Lipids: Early animal experimentation with silybin demonstrated decreased cholesterol synthesis (
113
) and reduced biliary excretion of cholesterol salts by 60-70%, while leaving biliary flow rates unchanged (
114
). In perfused livers from rats fed a high-cholesterol diet, silymarin normalized the clearance of LDL (
115
), providing significant protection against dietary-induced hypercholesterolemia (
115
). In human research, silymarin has been shown to lower levels of TC, TG, and LDL cholesterol (
33
;
34
;
35
;
116
; 37).