Artichoke Leaf Extract
Specifically for Fatty Liver
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Why it works for Fatty Liver:
Lipid-lowering & bile-flow effects. Artichoke leaf polyphenols (notably luteolin and chlorogenic acids/cynarin) can inhibit hepatic cholesterol synthesis and promote bile flow (choleresis), mechanisms relevant to steatosis and dyslipidaemia seen in NAFLD. In primary cultured hepatocytes, ALE suppressed cholesterol biosynthesis in a concentration-dependent manner; mevalonate “rescued” the effect, pointing upstream (HMG-CoA reductase pathway). paulogentil.com
Antioxidant/anti-inflammatory activity. Preclinical work shows ALE reduces hepatic oxidative stress and inflammatory signalling in diet-induced steatohepatitis models, which are core processes in NAFLD progression. RSC Publishing
Potential action via lipid-metabolism regulators. Luteolin (a key ALE flavonoid) down-regulates SREBP-1c/LXR signalling and activates AMPK in animal/cell models, mechanisms that reduce hepatic de novo lipogenesis (relevant as DNL is elevated in NAFLD). (Mechanistic inference from luteolin literature applied to ALE’s known composition.) ScienceDirect
Traditional/monograph support. The EU herbal monograph lists artichoke leaf as a choleretic/traditional hepatobiliary herb; pharmacopoeial leaf contains ≥0.8% chlorogenic acid, aligning with the actives above. European Medicines Agency (EMA)
How to use for Fatty Liver:
Forms: Standardised artichoke leaf extract capsules/tablets (not the edible head/food). Look for products referencing Cynara cardunculus/scolymus leaf and pharmacopeial standards. European Medicines Agency (EMA)
Doses & durations used in NAFLD/NASH trials:
- 600 mg/day ALE (divided doses) for 8 weeks in ultrasound-diagnosed NAFLD. academy.miloa.eu
- 2,700 mg/day ALE (6 tablets providing 2.7 g extract) for 8 weeks in biopsy-proven or clinically defined NASH. Paperity
- A clinical monograph summarises the above ranges (600–2,700 mg/day for 2 months in liver disease studies). Drugs.com
With food? Human trials didn’t consistently specify meals; guidance varies. (Evidence compilers note uncertainty about meal timing.) Examine
What to monitor: Baseline and follow-up ALT/AST, lipids, weight, and (if available) ultrasound/steatosis markers at ~8 weeks. (This mirrors trial endpoints.) academy.miloa.eu
Quality tips: Prefer products that are standardised and third-party tested; EMA monograph recognizes leaf preparations and sets identity/assay standards (≥0.8% chlorogenic acid in the herbal substance). European Medicines Agency (EMA)
Lifestyle remains first-line. Trials used ALE adjunctive to standard advice (diet, exercise); weight loss and metabolic risk control are still cornerstone therapy. academy.miloa.eu
Scientific Evidence for Fatty Liver:
NAFLD RCT (2018, n=100, 8 weeks): ALE 600 mg/day vs placebo improved hepatic ultrasound parameters (↓ liver size, ↓ portal vein diameter, ↑ hepatic vein flow) and reduced ALT/AST, total bilirubin, and multiple lipid fractions. No adverse effects reported during the trial. academy.miloa.eu
NASH RCT (2016, n=60, 8 weeks): ALE 2,700 mg/day vs placebo led to greater improvements in ALT/AST, weight/BMI, triglycerides, and cholesterol. (Open-access mirror of the trial article.) Paperity
Systematic review/meta-analysis (2022, 7 RCTs): Pooled data showed significant reductions in ALT (Hedges’ g −1.08) and AST (−1.02) with artichoke supplementation; effects were more evident in trials ≤8 weeks and at higher doses. (Mixed populations; includes NAFLD/NASH and other liver-related contexts.) e-cnr.org
Mechanistic translational evidence: Classic hepatocyte studies show direct inhibition of cholesterol biosynthesis by ALE; additional work documents antioxidant protection and bile-acid related effects. These support plausible pathways for the clinical enzyme/lipid improvements. paulogentil.com
Specific Warnings for Fatty Liver:
- Do NOT use if you have bile duct obstruction; use only with medical supervision if you have gallstones (artichoke is choleretic and may provoke biliary symptoms). Drugs.com
- Allergy: Avoid if allergic to Asteraceae/Compositae (e.g., ragweed, daisies, marigold); allergic reactions (including rare severe reactions) have been reported. Drugs.com
- Pregnancy/lactation: Insufficient data—avoid medicinal doses; food use is generally regarded as safe. Drugs.com
- Drug interactions: Reported interaction potential with colchicine (↑ serum levels); monitor with your prescriber if co-administered. Drugs.com
- Adverse effects: Usually mild GI upset (bloating/flatulence) in studies; isolated case reports describe allergy and very rare hepatotoxicity from specific products. Drugs.com
- Regulatory note: Supplements are not regulated like medicines; choose third-party-tested products and review all supplements with your clinician, especially if you have chronic liver disease. Verywell Health
General Information (All Ailments)
What It Is
Artichoke leaf extract is a herbal supplement derived from the leaves of the artichoke plant (Cynara scolymus), a member of the thistle family. While artichoke hearts are popular as food, the leaves contain higher concentrations of bioactive compounds, particularly:
- Cynarin
- Chlorogenic acid
- Luteolin
- Caffeic acid derivatives
These compounds have antioxidant, hepatoprotective (liver-protecting), and lipid-lowering properties. The extract is commonly used in traditional medicine and modern supplements to support liver health, digestion, and cholesterol balance.
How It Works
Artichoke leaf extract acts through multiple biochemical pathways that benefit liver and digestive function:
Stimulates Bile Production
- Cynarin increases bile flow from the liver, which helps digest fats and remove toxins through the gallbladder and intestines.
- This process can relieve symptoms like bloating, indigestion, and nausea related to poor fat metabolism.
Liver Protection and Detoxification
- Its antioxidant compounds, including luteolin and chlorogenic acid, neutralize free radicals and reduce oxidative stress on liver cells.
- This supports detoxification processes and helps protect the liver from chemical damage or environmental toxins.
Cholesterol Regulation
- Artichoke extract inhibits HMG-CoA reductase, the same enzyme targeted by statins, thus reducing cholesterol synthesis in the liver.
- It also promotes the conversion of LDL (“bad”) cholesterol into bile acids, which are excreted, potentially lowering blood lipid levels.
Digestive Support
- By promoting bile secretion, it enhances fat digestion and nutrient absorption.
- Some studies suggest it may also alleviate symptoms of irritable bowel syndrome (IBS), especially bloating and discomfort after meals.
Why It’s Important
Artichoke leaf extract offers a natural approach to liver and cardiovascular health, with clinical studies supporting several benefits:
- Liver Health: Protects liver cells, enhances detoxification, and supports regeneration after exposure to toxins or heavy alcohol use.
- Cholesterol Management: May help lower total and LDL cholesterol while maintaining or slightly raising HDL levels.
- Digestive Relief: Improves symptoms of dyspepsia, nausea, and bloating by enhancing bile flow and digestive efficiency.
- Antioxidant Protection: Reduces oxidative damage, which can play a role in aging and chronic disease prevention.
Because of these properties, artichoke leaf extract is often used in liver support formulas, detox programs, and cholesterol-lowering regimens.
Considerations
While generally considered safe, there are some precautions and potential side effects to note:
Allergies
- Individuals allergic to plants in the Asteraceae family (like daisies, marigolds, or ragweed) should avoid it, as it may trigger allergic reactions.
Gallbladder Conditions
- Since it increases bile production, it may worsen symptoms in people with bile duct obstruction or gallstones.
Pregnancy and Breastfeeding
- Insufficient data exist on its safety during pregnancy or lactation — it’s best avoided unless advised by a healthcare provider.
Medication Interactions
- May enhance the effects of cholesterol-lowering drugs (statins) or interfere with bile acid sequestrants.
- Also, because it supports detoxification, it might affect how some medications are metabolized by the liver.
Dosage and Quality
- Typical doses range from 300–600 mg of standardized extract (2.5%–5% cynarin) taken 2–3 times daily.
- Quality varies among supplements — look for standardized extracts verified by third-party testing.
Helps with these conditions
Artichoke Leaf Extract is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
High Cholesterol
Multiple lipid-lowering mechanisms have been proposed. In vitro and animal work suggests flavonoids in artichoke—especially luteolin—can inhibit HMG-C...
Fatty Liver
Lipid-lowering & bile-flow effects. Artichoke leaf polyphenols (notably luteolin and chlorogenic acids/cynarin) can inhibit hepatic cholesterol sy...
Gallstones
Artichoke Leaf Extract (ALE), derived from the plant Cynara scolymus, is not considered a direct treatment to dissolve existing, hardened gallstones....
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