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Alternative medicine

By Mayo Clinic staff

A number of alternative medicines, notably milk thistle (silymarin) and licorice root (glycyrrhizin) have been used to treat liver diseases. There is not sufficient evidence of benefit from trials in patients to recommend use of these or any other herbal products to treat liver cirrhosis. Talk with your doctor if you're interested in trying alternative medicine to help you cope with cirrhosis.

References
  1. Sanchez W, et al. Liver cirrhosis. The American College of Gastroenterology. http://patients.gi.org/topics/liver-cirrhosis/. Accessed Dec. 3, 2012.
  2. 2. Ferri FF. Ferri's Clinical Advisor 2013:5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-08373-7..00002-9&isbn=978-0-323-08373-7&about=true&uniqId=343863096-23.Accessed Nov. 27, 2012.
  3. Cirrhosis. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.3.gov/ddiseases/pubs/cirrhosis/index.htm. Accessed Nov. 27, 2012.
  4. Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Dec. 3, 2012.
  5. AskMayoExpert. What are the clinical manifestations of primary biliary cirrhosis (PBC)? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  6. Starr PS, et al. Cirrhosis: Diagnosis, management and prevention. American Family Physician. 2011;84:1353.
  7. AskMayoExpert. What are the complications and comorbid conditions associated with primary biliary cirrhosis (PBC)? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  8. Jafri SM, et al. Care of the cirrhotic patient. Infectious Disease Clinics of North America. 2012;26:979.
  9. AskMayoExpert. When should patients with cirrhosis be screened for esophageal varices? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2010.
  10. AskMayoExpert. What is the standard follow-up for patients receiving therapy for primary biliary cirrhosis (PBC)? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  11. AskMayoExpert. What is the initial therapy recommended for patients with nonalcoholic fatty liver disease? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  12. AskMayoExpert. Will asymptomatic patients who receive a diagnosis of primary biliary cirrhosis (PBC) have symptoms at a later time? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  13. AskMayoExpert. What is the expected prognosis of primary biliary cirrhosis (PBC) following treatment? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  14. Your liver. Your life. American Liver Foundation. http://www.yourliver.org/Liver-Wellness-Presentation.pdf. Accessed Dec. 3, 2012.
  15. Liver transplant. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/livertransplant. Accessed Dec. 28, 2012.
  16. Verma S et al. Complementary and alternative medicine in hepatology: review of the evidence of efficacy. Clinical Gastroenterology and Hepatology. 2007; 5: 408.
  17. Rakel D. Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-2/0/1494/0.html. Accessed Jan. 3, 2013.
DS00373 Jan. 30, 2013

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