How to choose a combination supplement
- Actual silymarin amount — Calculate extract mg × standardization % (e.g. 300 mg × 80% = 240 mg). 200–400 mg a day is the studied dose. Points off if no % is listed, since you can't know the real amount. Siliphos (phytosome) is an improved-absorption form, so 160–180 mg also counts
- Token ingredients — Points off for bragging about ingredient count, like '27-in-1', when most are 50 mg or less. If silymarin is sufficient, the max is 'Depends on your needs'; if silymarin is unknown or too low, 'Not recommended'. Amounts far below a studied dose, like 12 mg choline, are also flagged
- Hidden amounts — 'Not recommended' if a key ingredient promoted in the title — like milk thistle, NAC or TUDCA — is hidden in a 'Proprietary Blend'. If only minor ingredients are hidden, it's noted in the reasons
- Upper limits and cautions — Zinc 30 mg or more (upper limit 40 mg) and selenium 200 mcg (upper limit 400 mcg): add up with your other supplements. Berberine: caution with diabetes drugs and immunosuppressants. Black pepper (piperine) can change how prescription drugs are absorbed, so it's flagged
- Compared with buying separately — If a combo has less of the key ingredient than a single product, or hides it, you're better off with an 80% standardized milk thistle plus whatever else you need, bought separately
- Cost per day — Price ÷ count × the label's daily serving (lowest if a range). Stored as a number only; no points added or taken off in the verdict
- Label check — Products we could not verify in the NIH DSLD label database get 'Depends on your needs' at best. 'Detox' or 'cleanse' wording, review counts, star ratings and brand are not used in the verdict — only the numbers on the label
Best Liver support combos supplements on Amazon, compared
Bottom line
We checked the labels of 23 popular liver support combos on Amazon: 1 recommended, 10 depend on your needs, 12 not recommended.
- Best overall — NOW Foods Liver Refresh: Silymarin 240 mg in 3 capsules a day — within the studied dose (200–400 mg)
- Better absorption — 1MD Nutrition LiverMD (Siliphos Milk Thistle): Siliphos (phytosome) 160 mg — an improved-absorption form that works at a smaller amount than regular extract
- With berberine — Thorne Liver Cleanse (Berberine HCl & Milk Thistle): All 4 ingredients have amounts listed, no hidden blend
Recommended 1
Liver Refresh
Capsule, milk thistle 80% standardized + glutathione · Cost per day: low
Silymarin 240 mg (milk thistle extract 300 mg, 80%), glutathione 200 mg, alpha-lipoic acid 100 mg, grape seed 100 mg, schisandra 100 mg, herb blend 90 mg
- Silymarin 240 mg in 3 capsules a day — within the studied dose (200–400 mg)
- All main ingredients, like glutathione and alpha-lipoic acid, have amounts listed
- Only artichoke, beet and raspberry are in a 90 mg blend with hidden amounts (a small part)
- 3 capsules a day is a lot of pills
People who want a full dose of silymarin plus antioxidants
View on Amazon Find on iHerbDepends on your needs 10
LiverMD (Siliphos Milk Thistle)
Capsule, Siliphos (phytosome) improved absorption · Cost per day: high
Siliphos (phytosome) 160 mg, L-cysteine 400 mg, alpha-lipoic acid 100 mg, selenium 200 mcg, zinc 15 mg, tocotrienols 15 mg
- Siliphos (phytosome) 160 mg — an improved-absorption form that works at a smaller amount than regular extract
- The title says NAC, but the current label lists L-cysteine 400 mg
- Selenium 200 mcg — with a multivitamin you get close to the 400 mcg upper limit
- All amounts listed, but among the highest cost per day on this list
People who want improved-absorption milk thistle and don't get selenium elsewhere
View on Amazon Find on iHerbLiver Cleanse (Berberine HCl & Milk Thistle)
Capsule, berberine + milk thistle · Cost per day: low
Per capsule: berberine 125 mg, milk thistle extract 125 mg (silymarin % not listed), burdock 100 mg, chicory 100 mg (up to 3 capsules a day)
- All 4 ingredients have amounts listed, no hidden blend
- Milk thistle is 125 mg per capsule with no silymarin %, so the real silymarin amount is unknown
- Berberine 125 mg (375 mg at 3 capsules) — if you take diabetes drugs or immunosuppressants, ask your doctor first
- Adjustable at 1–3 capsules a day
People who want light berberine plus milk thistle and take no prescription drugs
View on Amazon Find on iHerbLiver Support 27-in-1 (80% Silymarin)
Capsule, 27-ingredient blend · Cost per day: average
Silymarin 240 mg (milk thistle 300 mg, 80%), artichoke and dandelion 4:1 extracts 100 mg each, chicory 100 mg, 4 herbs 50 mg each, zinc 30 mg, 600 mg blend (20 ingredients, amounts hidden)
- Silymarin 240 mg, so the key ingredient is within the studied dose
- 20 of the 27 ingredients are in a 600 mg blend — mostly token amounts
- Choline and turmeric from the title, plus NAC and berberine, are in the blend, so amounts are unknown
- Zinc 30 mg — add it to your multivitamin's zinc and check the 40 mg upper limit
People mainly after milk thistle who aren't swayed by long herb lists (compare single products with the same silymarin)
View on Amazon Find on iHerbLiver Aid + Milk Thistle
Capsule, liver hydrolysate + milk thistle 80% · Cost per day: low
Per 2 capsules: silymarin 140 mg (milk thistle 175 mg, 80%), vitamin B12 2.58 mcg, 296 mg blend (liver hydrolysate, choline, inositol, L-cysteine, etc., amounts hidden)
- Silymarin 140 mg in 2 capsules — 280 mg at 4 capsules a day (label max 6)
- The 296 mg blend of liver hydrolysate, choline and more doesn't show individual amounts
- Contains animal liver hydrolysate and gelatin capsules, so not for vegetarians
- NIH label verified for the 60-capsule product; this is the 150-capsule size of the same product
Non-vegetarians who can take 4 or more capsules a day
View on Amazon Find on iHerbLiver Kidney
Capsule, 3 Ayurvedic herbs (no milk thistle) · Cost per day: average
Per 2 capsules: phyllanthus (chanca piedra) 250 mg, picrorhiza 200 mg, punarnava 200 mg (twice a day)
- Ayurvedic blend of 3 herbs with no milk thistle
- All 3 amounts listed, no hidden blend
- Can't be compared on silymarin
- 4 capsules a day is a lot of pills
People who want a traditional herbal blend instead of milk thistle
View on Amazon Find on iHerbLiver Cleanse Detox & Repair (250mg Milk Thistle)
Capsule, milk thistle 80% + supporting-herb blend · Cost per day: high
Per capsule: milk thistle extract 250 mg (80% silymarin, 58% by HPLC listed), 200 mg blend (dandelion, artichoke, yellow dock, protease, beet, amounts hidden) (per product page)
- Per the product page, 500 mg milk thistle extract in 2 capsules a day — silymarin in the studied range
- The 200 mg blend of supporting ingredients has hidden amounts (a small part)
- Not verified in the NIH label database, so 'Depends on your needs' at best
People who want a silymarin-focused product and will check the label photo themselves
View on Amazon Find on iHerbLiver Detox Cleanse with Milk Thistle & Berberine
Capsule, 20+ ingredient blend · Cost per day: low
Milk thistle 30:1 extract (80% flavonoids), artichoke (5% cynarin), berberine, zinc (oxide) and 20+ more — amounts not confirmed
- Not verified in the NIH label database
- The product page ingredient list has no amounts, so silymarin is unknown
- Over 20 ingredients — each one ends up in a small amount
- Contains berberine — if you take diabetes drugs or immunosuppressants, ask your doctor first
People who'll check silymarin on the label photo themselves
View on Amazon Find on iHerbMilk Thistle with Artichoke, Dandelion & Choline (80% Silymarin)
Capsule, milk thistle 80% + artichoke, dandelion, choline
Milk thistle (80% silymarin), artichoke (2.5% cynarin), dandelion, choline — amounts not confirmed
- Not verified in the NIH label database
- The product page doesn't show amounts or capsules per day
- Simple 4-ingredient formula
People who'll check silymarin on the label photo themselves
View on Amazon Find on iHerbLiver Health
Capsule, 8 ingredients including turmeric, beet, dandelion, milk thistle
Turmeric, beet, dandelion, milk thistle, artichoke, ginger, L-cysteine, black pepper — amounts not confirmed
- Not verified in the NIH label database
- The product page ingredient list has no amounts, so silymarin is unknown
- Contains black pepper extract — if you take antidepressants or heart medication, check on piperine
People who'll check amounts on the label photo themselves
View on Amazon Find on iHerbNAC Liver Support with Milk Thistle
Capsule, NAC + milk thistle and more · Cost per day: average
Choline, zinc, milk thistle, NAC, beet, artichoke, chanca piedra, dandelion, chicory — amounts not confirmed
- The product page ingredient list doesn't match the label registered with NIH, so not verified
- NAC amount isn't shown, so it can't be compared to the studied NAC dose (600 mg)
- Milk thistle's silymarin % also can't be confirmed
People who'll check NAC and silymarin on the label photo themselves
View on Amazon Find on iHerbNot recommended 12
Liver Cleanse Support - Milk Thistle with Choline
Capsule, 18-ingredient blend · Cost per day: average
Milk thistle extract 200 mg (silymarin % not listed), zinc 30 mg (oxide), choline 12 mg, 7 herbs 50 mg each, 574 mg blend (11 ingredients including berberine, amounts hidden)
- Milk thistle 200 mg with no silymarin %, so the real silymarin amount is unknown
- 7 herbs at 50 mg each, the other 11 hidden in a blend — mostly token amounts
- Choline 12 mg is a token amount
- Berberine is in the hidden blend — if you take medication, you can't check the amount
Not recommended — an 80% standardized milk thistle single product is a surer choice
View on Amazon Find on iHerbLiver Cleanse Detox & Repair Formula
Capsule, 20-ingredient blend · Cost per day: low
Milk thistle 200 mg (silymarin % not listed), zinc 30 mg (oxide), choline 12 mg, 7 herbs 50 mg each, 512 mg blend (11 ingredients including berberine, amounts hidden)
- Milk thistle 200 mg with no silymarin %, so the real amount is unknown
- 7 herbs at 50 mg each, 11 hidden in a blend — mostly token amounts
- Berberine is in the hidden blend
- Zinc 30 mg — with a multivitamin, check the 40 mg upper limit
Not recommended — pick a product that lists its silymarin amount
View on Amazon Find on iHerbLiver Health (Liver Cleanse Detox & Repair)
Capsule, 20-ingredient blend · Cost per day: average
Milk thistle 4:1 extract 200 mg (silymarin % not listed), zinc 30 mg, choline 12 mg, 7 herbs 50 mg each, 566 mg blend (12 ingredients including berberine, amounts hidden)
- Milk thistle 4:1 extract 200 mg — no silymarin %, so the real amount is unknown
- 7 herbs at 50 mg each, 12 hidden in a blend — mostly token amounts
- Berberine is in the hidden blend
- Zinc 30 mg — add up with your other supplements
Not recommended — pick a product that lists its silymarin amount
View on Amazon Find on iHerbLiver Support 28-in-1 (Milk Thistle, NAC, TUDCA)
Capsule, 28-ingredient blend
Milk thistle 10:1 extract 300 mg (silymarin % not listed), artichoke, beet and chanca piedra 200 mg each, dandelion 100 mg, zinc 11 mg, black pepper 5 mg, blend (22 ingredients including NAC and TUDCA, amounts hidden) (per product page)
- NAC, TUDCA and astragalus promoted in the title are inside a blend with no amounts
- Milk thistle 300 mg with no silymarin %
- 28 ingredients — the blend side is mostly token amounts
- Contains black pepper extract; not verified in the NIH label database
Not recommended — if you want NAC or TUDCA, pick a single product that lists the amount
View on Amazon Find on iHerbHepagard Liver Support with NAC
Capsule, blend with hidden amounts · Cost per day: high
340 mg blend (milk thistle 80%, NAC, dandelion, artichoke, amounts hidden), choline 4 mg
- Milk thistle and NAC are both hidden in a 340 mg blend, so amounts are unknown
- The whole blend is 340 mg — less than the studied NAC dose (600 mg)
- Choline 4 mg is a token amount
Not recommended — buying milk thistle and NAC separately is a surer choice
View on Amazon Find on iHerbLiver Cleanse (Milk Thistle, Ox Bile, Turmeric, Choline)
Capsule, blend with hidden amounts · Cost per day: high
Choline 100 mg, folate 260 mcg DFE, 537 mg blend (milk thistle, ox bile, turmeric, SAMe, CoQ10, black pepper, astaxanthin, amounts hidden)
- The key ingredient, milk thistle, is in a 537 mg blend, so silymarin is unknown
- 7 ingredients including SAMe, CoQ10 and astaxanthin in 537 mg — mostly token amounts
- Contains black pepper extract — if you take prescription drugs, check on piperine
- Only choline 100 mg and folate are disclosed
Not recommended — pick a product that lists its silymarin amount
View on Amazon Find on iHerbLiver Cleanse
Liquid extract capsule, blend with hidden amounts · Cost per day: high
486 mg blend (14 herbs including milk thistle, turmeric, corydalis, artichoke, dandelion, amounts hidden)
- 14 herbs in a single 486 mg blend — milk thistle amount unknown
- About 35 mg per ingredient on average — mostly token amounts
- Label says to use for up to 3–4 months
Not recommended — pick a product that lists its silymarin amount
View on Amazon Find on iHerbLiver Blend SP-13
Capsule, blend with hidden amounts · Cost per day: low
455 mg blend × 3 capsules a day (dandelion, milk thistle, burdock, artichoke, kelp, peppermint, amounts hidden)
- 6 herbs in a 455 mg blend — milk thistle amount and silymarin % unknown
- Milk thistle is listed second, so there's less of it than dandelion
- Cheap, but can't be compared on silymarin
Not recommended — for the same price, a milk thistle single product is a surer choice
View on Amazon Find on iHerbLiverCare
Capsule, Ayurvedic herb blend (no milk thistle) · Cost per day: high
375 mg blend (chicory, caper, yarrow, black nightshade, arjuna, cassia, tamarisk, amounts hidden)
- 7 herbs in a 375 mg blend — individual amounts unknown
- Contains no milk thistle
- 42 capsules, a 3-week supply
Not recommended — pick a product that lists each ingredient's amount
View on Amazon Find on iHerbVitaLiver Liver Support Drops
Liquid drops (glycerin), blend with hidden amounts · Cost per day: average
1.23 mL blend per serving (milk thistle, angelica, chanca piedra, artichoke, dandelion, amounts hidden)
- 5 herbs in a liquid blend — milk thistle and silymarin amounts unknown
- A 59 mL bottle is about 48 servings
- Meant for people who can't swallow pills, but there's no way to check the amounts
Not recommended — if pills are hard, use a powder or open a capsule that lists amounts
View on Amazon Find on iHerbLiver Detox Advanced Detox & Cleansing Formula (60 caps)
Capsule, 6 herbs in small amounts · Cost per day: low
Milk thistle 9:1 extract 33.3 mg, dandelion and artichoke extracts 25 mg each, beet and burdock 12.5 mg each, turmeric extract 3.3 mg (per product page)
- Per the product page, milk thistle extract 33.3 mg — far below the studied silymarin dose (200 mg)
- The other herbs are 3–25 mg — token amounts
- A different product from the Bronson Liver Detox registered with NIH (2 capsules, milk thistle 350 mg)
Not recommended — cheap, but almost no silymarin
View on Amazon Find on iHerbLiver Cleanse Detox & Repair Gummies (1500mg Milk Thistle)
Gummy, 22-ingredient blend · Cost per day: low
Milk thistle 1,500 mg (silymarin amount not listed) plus 21 others — amounts not confirmed (per product page)
- The 1,500 mg in the title is milk thistle raw material; silymarin isn't listed
- 22 ingredients in 2 gummies — mostly token amounts
- Not verified in the NIH label database
Not recommended — pick a capsule that lists its silymarin amount
View on Amazon Find on iHerb