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The most common side effects of oral silymarin ingestion include:2 Abdominal pain/fullness Bloating Bowel changes Diarrhea Dyspepsia (indigestion) Flatulence Headache Nausea Pruritus (itching) Of note, there's at least one case report of more severe instances of the above, along with sweating, colicky pain, weakness, and collapse, in a 57-year-old woman after taking a milk thistle capsule

The official meeting agenda shows that the panel examined specific proposed medical uses

Chapter 30

It is also considered when an osteoporotic patient has failed fracture healing and faces potential surgical intervention for non-union