Milk thistle not recommended for MASLD patient
Dr Roach reviews milk thistle sylmarin for MASLD and MASH. Trials show mixed results. major liver associations find no biopsy-proven improvement and call for larger trials. Emphasizes weight loss, vaccination, and avoidance of excess alcohol as primary MASLD treatments while noting new GLP-1 therapies and anti-fibrosis medicines on the horizon. Milk thistle is safe but not advised as standard MASLD therapy.
MENTIONED IN THIS ARTICLE
Roach
Raynaud
Marriage and aging bring strain in Dear Abby column
A 64 year old man seeks advice on staying or leaving after 22 years of marriage with growing lack of affection. The column also covers a caregiver with dementia facing little sibling help, and a couple asked about responding to questions on a costly anniversary ring. Counseling and clear communication are urged.
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Indiana
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Dear Abby
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P.O. Box
Los Angeles
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