DOSERANKEVIDENCE-BASED SUPPLEMENTS
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DOSERANKEVIDENCE-BASED SUPPLEMENTS
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  1. Search
  2. ·Outcomes
  3. ·Liver safety
  4. ·Hepatotoxicity or liver injury

Reduce liver injury risk

View top productsTake the 60-sec quizGet the reportSee methodology

What this outcome means

Hepatotoxicity refers to clinically meaningful harm to the liver, the kind that shows up in blood markers or symptoms rather than a passing fluctuation. On DoseRank it maps to a defined health outcome built from human studies on serum ALT and AST, bilirubin levels, and clinical signs of liver damage – data sourced from open sources and specialized resources. DoseRank is not medical advice.

Who it's for

Drug-load liversPeople on long medication regimens that put extra strain on the liver.
Elevated enzymesBlood tests showing liver enzymes climbing above the normal band.
Cautious by historyA past liver scare that makes you watchful about new exposures.
Stack buildersAlready taking supplements such as Silymarin and want the dose right.

Evidence level

78Moderate-strong

Silymarin – has moderate public evidence for this outcome. This usually means there are smaller or mechanistic studies, but not randomized human trials. A DoseFit Score of 72 means this product's ingredient forms and doses are close to what was used in the studies behind this ranking - DoseRank weights each product ingredient.

Best available ingredients

Silymarin is the best supported ingredient signal for this outcome.

Dose partly matchedDoseFit 72

Scores reward products dosed inside or above the studied range, not just the right ingredient. Examples: In range: Silymarin 600 mg vs 420-1200 mg.

ProcessedProcessedEvery product DoseRank ingested and scored for this outcome, before any availability or relevance filtering.
5k
AvailableAvailableOf the products processed, how many are currently in stock and purchasable from a tracked retailer.
5k
IngredientsIngredientsNumber of relevant ingredients for this outcome. Each is judged on its own evidence and dose fit score.
21
BrandsBrandsNumber of unique brands represented across the ranked products for this outcome.
444
CoverageCoverageHigher is betterShare of the relevant, in-stock market DoseRank has structured data for. Higher coverage means fewer blind spots in the ranking.
100%

How to read the scores

What every metric means

Each score is 0–100. Higher is better for every metric below.
CompositeThe overall DoseRank score — a weighted blend of clinical strength, evidence, dose fit, trust and value.Higher is better
ClinicalHow strongly the formula's ingredients and doses match what clinical studies used for this outcome.Higher is better
EvidenceHow much published human research backs the formula's key ingredients for this outcome — both how many studies exist and how strong they are.Higher is better
ValueHow the price per serving compares with similar products for this outcome — 50 is the typical price, higher means better value for your money.Higher is better
TrustHow well customers rate this product, with extra weight given to ratings backed by a large number of reviews.Higher is better
PopularityHow strongly this product sells compared with the other ranked products for this outcome.Higher is better

This legend covers the scores on this page — for data sources, scoring weights, and limits, read the full methodology →

Not sure which is right for you?

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Get a personal report

A saved, shareable breakdown: your matched products, dose math, interaction flags to discuss with a clinician, and a price-tracked stack you can revisit.

Questions

Frequently asked

Each product gets a composite score blending clinical strength, evidence, dose fit, trust and value. The #1 on the DoseRank tab has the highest composite; the other tabs re-rank the same products by Value, Trust, or Popularity. Placement is never paid.

No. Dose-fit rewards landing inside the range studied for the outcome — over-dosing (common with melatonin) or under-dosing both lower the score. The goal is the effective dose, not the biggest number.

The Value score compares a product's price per serving with clinically relevant products ranked for the same outcome. A score of 50 is the typical price; above 50 means better value than typical, while below 50 means the product costs more than typical. It is a 0–100 value signal, not a percentile.

Cost is only one input. The cheapest pick here is a citrate form with weaker absorption and a stock-risk flag, so it leads on Value-for-cost but trails on the composite that also weighs evidence, dose fit and availability.

Retailer links may be affiliate links and DoseRank may earn a commission. Rankings and placement are determined by the scoring model only — never by payment from a brand.

No. DoseRank summarizes evidence to help you choose; it is not a substitute for a clinician, especially if you are pregnant, breastfeeding, on medication, or managing a health condition.

DoseRank is not medical advice. Scores summarize publicly available product and study data to help you compare options; they are not a diagnosis or a treatment recommendation. If you are pregnant, breastfeeding, taking medication, or managing a health condition, consult a qualified clinician before starting any supplement. Retailer links may be affiliate links and DoseRank may earn a commission — rankings and placement are determined by the scoring model only, never by payment from a brand. Statements about supplements have not been evaluated by the FDA. Products are not intended to diagnose, treat, cure, or prevent any disease.

Relevant ingredients

Which ingredient types matter for hepatotoxicity or liver injuryOpen to see which ingredient types matter for hepatotoxicity or liver injury

3.1k products across 4 ingredient types — open to filter the ranking.
Use types to filter ranked products

Antioxidants & Bioactive Compounds

30 products

Molecules that neutralize free radicals and tune cell signaling. Helpful in balance; mega-doses can blunt the body's own adaptive defenses.

Typical: ,

Botanicals/Herbal Extracts

667 products

Concentrated plant and herbal extracts standardized to actives. Potency depends on the extract ratio and marker content, not raw weight.

Typical: , , , ...

Vitamins

1.9k products

Essential micronutrients the body can't make in sufficient amounts. Fat-soluble ones (A, D, E, K) store up; water-soluble ones need regular topping-up.

Typical: ,

Amino Acids & Derivatives

555 products

The building blocks of protein, taken singly for targeted effects – leucine for muscle, theanine for calm. Free-form versions absorb fast on an empty stomach.

Typical:

Top decision cards

Best products for hepatotoxicity or liver injury

Ranking by · Composite outcome score

Best overall — the composite outcome score.

Top pick · DoseRank

Why this ranks #1 for hepatotoxicity or liver injury

#1

NOW Foods, Milk Thistle Extract, 750 mg, 90 Veg Capsules

NOW Foods$0.26 / serving4.8 · 4,087Available now
Also helps withAspartate aminotransferase (AST)Alanine aminotransferase (ALT)Liver function

Why this ranks here

  • Evidence fitSilymarin has moderate human evidence for this outcome.
  • Dose fitSilymarin at 600 mg lands inside the studied 420-1200 mg window.
  • Price / serving$0.26 per serving — mid price tier for this outcome.
  • AvailabilityIn stock across major retailers; 99% availability confidence.
  • TrustStrong trust signals — consistently high marks from verified buyer ratings.

The numbers

83
87
72
63

600 mgIn rangeinside the studied 420-1200 mg window
Compare top 3Product dataOpen at retailer

The rest of the ranking · DoseRank

Top 10 ranked products
#ProductPrice
2

Futurebiotics, Silymarin Plus™, 120 Vegetarian Tablets

Futurebiotics
Clinical86Dose fit67Popularity30$0.47/ serving
3

Planetary Herbals, Full Spectrum™ Milk Thistle Seed Extract, 120 Tablets

Planetary Herbals
Clinical86Dose fit67Popularity30$0.44/ serving
4

Zhou Nutrition, Milk Thistle, 60 Veggie Capsules (450 mg per Capsule)

Zhou Nutrition
Clinical86Dose fit67Popularity30$0.82/ serving
5

NutraBio, Liver, 90 Capsules

NutraBio
Clinical86Dose fit67Popularity30$1.65/ serving
6

NaturesPlus, Herbal Actives, Milk Thistle, Extended Release, 500 mg, 30 Tablets

NaturesPlus
Clinical81Dose fit55Popularity30$0.89/ serving
7

Metabolic Maintenance, Metabolic Detox®, 60 Vegetarian Capsules

Metabolic Maintenance
Clinical81Dose fit55Popularity30$1.36/ serving
8

Vitacost, Synergy®, GlucoPower® Multivitamin, 240 Capsules

Vitacost
Clinical81Dose fit55Popularity30$1.05/ serving
9

Gaia Herbs, Milk Thistle, 120 Vegan Capsules

Gaia Herbs
Clinical74Dose fit42Popularity68$1.15/ serving
10

Solgar, Milk Thistle, 250 Vegetable Capsules (450 mg per Capsule)

Solgar
Clinical70Dose fit36Popularity50$0.14/ serving
Last updated Aug 20, 2026

DoseRank is not medical advice. Scores summarize publicly available product and study data to help you compare options; they are not a diagnosis or a treatment recommendation. If you are pregnant, breastfeeding, taking medication, or managing a health condition, consult a qualified clinician before starting any supplement. Retailer links may be affiliate links and DoseRank may earn a commission — rankings and placement are determined by the scoring model only, never by payment from a brand. Statements about supplements have not been evaluated by the FDA. Products are not intended to diagnose, treat, cure, or prevent any disease.

Comparison preview

Compare the top 3, side by side

Sign-in to see all metrics

The top three for the current view — free to read, no account. Saving, exporting, alerts and the full filter set unlock once you sign in or build a personal report.

Metric
#1NOW Foods, Milk Thistle Extract, 750 mg, 90 Veg CapsulesNOW Foods · $0.26/serving
#2Futurebiotics, Silymarin Plus™, 120 Vegetarian TabletsFuturebiotics · $0.47/serving
#3Planetary Herbals, Full Spectrum™ Milk Thistle Seed Extract, 120 TabletsPlanetary Herbals · $0.44/serving
Composite837676
Clinical878686
Dose fit726767
Value634950
Popularity983030
Key dosages & price · raw values
600 mgHighest441 mg420 mg
Rating
Number of ratings
Price
Price per serving
Serving size
Trust

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Unlocks with accountFull list of ingredients and dosagesFull list of metricsPrice-drop alertsRanking-changes alertsPersistent stack