CHAMGAP
FOOD & SUPPLEMENT BUNDLE

Foods and supplements claimed to help liver health

47 of them, ranked by strength of evidence. None reach grade A or B.

01

At a glance

47 foods and supplements marketed for liver health, each graded one by one against clinical trial evidence. Grade spread: C 28 · D 10 · F 1. None reach grade A or B.

The grade measures how strong the evidence is, not how good something is for you. Grade A means independent research groups replicated a reduction in real clinical events in humans; grade F means well-designed trials established there is no effect. See Methodology.

02

Claimed to help liver health — strongest evidence first

Within a grade, higher scores come first; verdicts without a score sit at the bottom. Follow a name to see its trials, evidence, and limits.

C 59 Vitamin E (alpha-tocopherol) Improvement in liver histology in patients with MASH or NASH without diabetes or cirrhosis
C 56 NAC (N-acetylcysteine) liver, respiratory health, and antioxidant effects
C 56 Caffeinated coffee at two to four or more cups daily, with cup volume unreported Prevention of symptomatic gallstone disease and cholecystectomy
C 55 Hovenia dulcis fruit extract (HDE; hovenic acid) Liver health and hangover
C 53 Black seed oil, a Nigella sativa seed-oil herbal supplement containing thymoquinone Improvement of ALT, AST, and ultrasound steatosis in MASLD or nonalcoholic fatty liver disease
C 52 Artemisia annua extract powder Liver protection and liver-function improvement
C 52 Resistant starch (RS2, digestion-resistant starch, food and supplement) Reduction of intrahepatic triglyceride and liver fat in patients with MASLD/NAFLD
C 50 Choline: choline bitartrate, phosphatidylcholine/lecithin, citicoline/CDP-choline, and alpha-GPC/choline alfoscerate Liver health/fatty liver and cognition/memory
C 50 Ecklonia stolonifera extract Liver health and liver-enzyme improvement
C 50 100% Korean pear juice, 220 mL Reduced hangover symptoms after alcohol
C 49 L-ornithine Hangover and liver-fatigue improvement
C 48 Lactobacillus-fermented kelp extract Liver function and liver-marker improvement
C 48 Lemon balm-dandelion complex LD100 Liver health and improvement in liver enzymes
C 48 Live multistrain probiotics containing Lactobacillus and Bifidobacterium species, including synbiotics (dietary supplements) Improved liver fat, ALT, AST, and liver stiffness in adults with MASLD or NAFLD
C 46 Milk thistle (silymarin) liver health and fatigue improvement
C 45 Korean black raspberry extract powder (individually recognized ingredient No. 2010-62) Improvement of alcoholic liver-injury markers
C 44 Sesamin (sesame lignan) Lipids and blood pressure, and fatty liver and liver enzymes
C 44 Curcumin (turmeric curcuminoids, a turmeric-derived polyphenol supplement) Improvement of liver fat and ALT and AST in MASLD or NAFLD
C 43 Tauroursodeoxycholic acid (TUDCA) Improvement in fatty liver and liver enzymes
C 42 Licorice glycyrrhizin Improvement in hepatitis and liver enzymes
C 41 Picrorhiza kurroa (kutki) extract Improvement in liver function and liver enzymes
C 41 Honeyberry extract powder Protection from liver injury associated with metabolic abnormalities
C 41 Betaine, trimethylglycine, or TMG for liver outcomes Improvement of fatty liver, liver fat, and liver enzymes
C 41 Oral glutathione Liver detoxification, toxin elimination, and improvement in liver enzymes
C 41 SAMe, or S-adenosyl-L-methionine and ademetionine, a methyl donor sold as a supplement Reduced risk of death or liver transplantation in alcoholic cirrhosis
C 40 Calcium D-glucarate Enhanced liver detoxification and toxin elimination
C 40 Probiotics-fermented garlic extract (individually approved functional ingredient No. 2016-16) Improved liver enzymes and support for liver health
C 40 Green tea extract or EGCG (catechin supplement) Improved liver enzymes including ALT and AST in MASLD or NAFLD
D 33 Coffee, a conventional food beverage containing caffeine and chlorogenic-acid polyphenols Prevention of cirrhosis and hepatocellular carcinoma through long-term consumption
D 32 Dandelion (Taraxacum) Liver, diuretic effect, and digestion
D 32 Omega-3 fatty acids (fish-oil-derived EPA and DHA supplements) Improvement of liver fat, liver enzymes, and histology in MASLD or NAFLD
D 30 A 16:8 schedule restricting food intake to 08:00-16:00 Additional liver-fat reduction beyond equal daily calorie restriction
D 28 Resveratrol (a stilbene polyphenol supplement) Improvement of liver fat, alanine aminotransferase, aspartate aminotransferase, and histologic fatty liver in metabolic dysfunction-associated or nonalcoholic fatty liver disease
D 25 Chanca piedra (Phyllanthus niruri) Liver protection and detoxification
D 25 Dendropanax morbiferus extract (a traditional Araliaceae plant extract and supplemental food) Relief of hangover and improvement of alcohol-related liver injury and liver enzymes
D 25 Spanish black radish extract (Raphanus sativus var. niger, a cruciferous-plant supplement) Improved acetaminophen metabolism and toxin elimination by activating hepatic detoxification enzymes
D 25 Fermented or aged black garlic (food or supplement containing S-allylcysteine) Improved ALT and AST and protection of liver function in healthy adults
D 23 Acer tegmentosum extract (traditional maple-family ingredient and supplement) Relief of hangover and improvement of alcohol-related liver injury, fatty liver, and liver enzymes
F 8 Activated charcoal capsules (porous carbon adsorbent supplement) Reduced alcohol absorption, blood alcohol, and hangover when taken before or after drinking
? score not listed Dihydromyricetin (DHM) Hangover prevention and relief
? score not listed Artemisia capillaris extract Liver detoxification and hangover improvement
? score not listed Burdock root (Arctium lappa) Liver detoxification and blood purification
? score not listed Caper bush root (Capparis spinosa; an ingredient in LiverCare/Liv.52) Hepatocyte protection and liver detoxification
? score not listed Freeze-dried bovine liver glandular for oral use Liver detoxification and liver-function support
? score not listed Apple cider vinegar (ACV, an acetic-acid fermented food and supplement) Improvement of liver fat, alanine aminotransferase, and fibrosis in metabolic dysfunction-associated or nonalcoholic fatty liver disease
? score not listed Wheatgrass, the young leaves of Triticum aestivum used as a green-food powder or juice supplement Liver detoxification and improvement of liver enzymes and liver fat in MASLD
? score not listed Whole minari (Oenanthe javanica) Relief of hangover symptoms
03

Not swallowed — applied, inhaled, held in the mouth, worn, or performed on the body (2)

Same claims, but these are not taken by mouth: rubbed on the skin, breathed in, chewed or rinsed and spat out, worn on the body, or performed as a procedure such as acupuncture or cupping. A different route into the body, so they are listed separately.

? score not listed Castor-oil liver pack (Ricinus communis oil, a ricinoleic-acid-rich topical wellness product) Liver detoxification and improvement of liver enzymes and fatty liver through right-upper-abdominal application
? score not listed Coffee enema Liver detoxification and toxin elimination
04

Claimed to harm liver health (2)

Here a higher grade means the harm is better established — the opposite direction from the table above. A low grade means the claim of harm rests on weak evidence.

C 56 Sugar-sweetened beverages Higher incidence of liver cancer
D 28 A palm-olein diet supplying 20% of total energy Whether liver fat increases versus soybean oil or cocoa butter
05

What does have evidence for liver health

Not foods or supplements: drugs and procedures graded A or B. Chamgap recommends nothing. It only shows where the evidence is strong. Any treatment decision belongs with your doctor.

A 91 Inactivated hepatitis A vaccine (prescription vaccine) Prevention of symptomatic hepatitis A in nonimmune children and high-risk adults
A 90 Sorafenib (oral prescription multikinase inhibitor targeting VEGFR and RAF; Nexavar) Prolonged overall survival as initial systemic therapy for unresectable advanced hepatocellular carcinoma
A 86 Elbasvir/grazoprevir (fixed-dose direct-acting antiviral combination, Zepatier, prescription medicine) Virologic cure at 12 weeks after treatment for chronic hepatitis C genotypes 1 and 4
A 86 Hepatitis B vaccine (recombinant or plasma-derived HBsAg vaccine) Prevention of clinical and subclinical hepatitis B virus infection
A 84 Propranolol (nonselective beta blocker; prescription drug) Prevention of a first variceal bleed in cirrhosis with large esophageal varices
B 79 Glecaprevir/pibrentasvir (Mavyret, prescription direct-acting antiviral combination) Virologic cure at SVR12 after eight weeks of treatment for chronic hepatitis C
B 79 Sofosbuvir/velpatasvir (Epclusa; prescription direct-acting antiviral combination) Sustained virologic response 12 weeks after treatment across all chronic hepatitis C genotypes
B 79 Intravenous N-acetylcysteine or acetylcysteine (prescription thiol antidote injection; Cysten) Prevent or lessen hepatotoxicity and liver failure after acute acetaminophen overdose
B 79 Sofosbuvir/velpatasvir/voxilaprevir (three-drug fixed-dose DAA combination, Vosevi, prescription medicine) SVR12 virologic cure on retreatment of chronic hepatitis C after failure of an NS5A-containing DAA regimen
B 78 Ursodeoxycholic acid (UDCA) Improvement of cholestasis and disease progression in primary biliary cholangitis
B 78 Human serum albumin 20% is a concentrated plasma-protein biologic manufactured from human plasma and administered intravenously by prescription. The claim is that adding albumin to antibiotics in cirrhosis with spontaneous bacterial peritonitis reduces renal impairment and in-hospital mortality.
B 78 Ledipasvir/sofosbuvir (prescription NS5A and NS5B direct-acting antiviral combination; Harvoni) Sustained virologic response 12 weeks after a 12-week course in treatment-naive chronic hepatitis C genotype 1
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How to read this list

A grade of C or D does not mean "do not take it." It means the evidence is not yet strong enough to promise the effect. Equally, A or B does not mean it works for everyone.

Chamgap sells nothing and takes no advertising. See all Liver verdicts.