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Rooted

Hepatic

Mild liver support

2 plants

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Alcohol, APAP, MTX, kava, GTE, comfrey, black cohosh — the list of what to remove is more important than what to add. Milk thistle is the traditional add.

Primary plants

  1. Milk thistle (Silybum marianum)
    1
    Milk thistleHuman data

    Silybum marianum

    Silymarin, mixed human data, generally safe.

    Typical. Silymarin ~140 mg tid.

    Safety. Quality varies. Not a cirrhosis reversal.

Supportive plants1
  • Artichoke (Cynara scolymus)
    ArtichokeStrong traditional
    Cynara scolymus

    Bitter/choleretic if dyspepsia coexists.

    Typical. Leaf extract.

    Safety. Obstruction.

Clinical notes

  • Hard no: internal comfrey, PA butterbur, kava, high-dose GTE, raw chaparral.

When this is not enough

  • Jaundice, coagulopathy, encephalopathy, acute hepatitis

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All hepatic diagnoses