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LIVER & DIGESTIVELiver supplements: askthree things first1Is there a randomised trial showing betterliver outcomes (not just enzyme numbers)?2Are ingredients and doses disclosed, withthird-party testing?3Will it interact with my medicines?4EASL 2024 guideline: no supplement iscurrently recommended for fatty liver5Herbal and dietary supplements are themselves acommon cause of drug-induced liver injury6What works: weight loss, stopping alcohol,controlling glucose and lipids, treatinghepatitis B/CTransplant recipients: many “liver” herbs alter tacrolimuslevels — always ask a pharmacist first.BBeyond CKDbeyondckd.com/en/cards/liver-supplements-can-hurtSources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD · WHO ·…Compiled from public clinical guidelines · General education, not individual medical advice
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Liver & digestive

Liver supplements: ask three things first

“Liver support” has no legal definition. Ask before you buy.

  1. 1Is there a randomised trial showing better liver outcomes (not just enzyme numbers)?
  2. 2Are ingredients and doses disclosed, with third-party testing?
  3. 3Will it interact with my medicines?
  4. 4EASL 2024 guideline: no supplement is currently recommended for fatty liver
  5. 5Herbal and dietary supplements are themselves a common cause of drug-induced liver injury
  6. 6What works: weight loss, stopping alcohol, controlling glucose and lipids, treating hepatitis B/C

Transplant recipients: many “liver” herbs alter tacrolimus levels — always ask a pharmacist first.

Caption (ready to paste)

“Liver support” has no legal definition. Ask before you buy.

1. Is there a randomised trial showing better liver outcomes (not just enzyme numbers)?
2. Are ingredients and doses disclosed, with third-party testing?
3. Will it interact with my medicines?
4. EASL 2024 guideline: no supplement is currently recommended for fatty liver
5. Herbal and dietary supplements are themselves a common cause of drug-induced liver injury
6. What works: weight loss, stopping alcohol, controlling glucose and lipids, treating hepatitis B/C

Transplant recipients: many “liver” herbs alter tacrolimus levels — always ask a pharmacist first.

Sources: EASL–EASD–EASO Clinical Practice Guidelines on MASLD — J Hepatol 2024; WHO — Oral health fact sheet
Verified: 2026-10-17

Cards and scripts are general health education compiled from public clinical guidelines. They are not individual medical advice and do not replace assessment by your doctor, pharmacist or dietitian. Please keep the sources and this notice when sharing; this page holds the latest version.
https://beyondckd.com/en/cards/liver-supplements-can-hurt
60-second short-video script

Shot list and voice-over. Vertical 9:16; put captions in the lower third. Every line maps to the sources on the left.

secScreenVoice-over
0–5Supplement shelfA whole shelf of liver products — which one has evidence?
5–25Three question marksAsk three things: is there a randomised trial, are ingredients and doses disclosed, will it interact with my drugs?
25–45EASL 2024 cardThe 2024 European liver guideline recommends no supplement for fatty liver. Herbal products are a common cause of liver injury.
45–60PharmacistTransplant recipients: liver herbs can change anti-rejection drug levels. Ask a pharmacist first.

Sources (every point on the card maps to one)

Verified: 2026-10-17