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Milk thistle with vitamin C: what to know about taking them together

Milk thistle seed isn't a source of vitamin C, and no human trial has tested silymarin and vitamin C taken together. Nothing in milk thistle's documented safety or interaction research points to a problem with combining the two, but that's an absence of data, not a tested combination.

By Electric Tiger Editorial

Milk thistle seed isn't a source of vitamin C — no food-composition database lists a figure for it — and no human trial has tested silymarin and vitamin C taken together, for any outcome. Nothing in milk thistle's documented interaction research involves vitamin C, so there's no known safety problem with combining a milk thistle supplement and a vitamin C supplement, but that's an absence of data rather than a tested combination.

Milk thistle doesn't supply vitamin C

Milk thistle is used for its seed, pressed or extracted into silymarin — not for its leaves or fruit flesh, which is where a plant typically stores vitamin C. No food-composition database, including USDA FoodData Central, has a published vitamin C figure for milk thistle seed or extract. If a product markets "milk thistle with vitamin C," the vitamin C is added separately, not naturally present in the milk thistle itself.

No trial has tested the combination

Milk thistle's active compounds (silymarin, and its main component silibinin) are, structurally, antioxidant flavonolignans — a different class of molecule from ascorbic acid (vitamin C), even though both are sometimes grouped loosely as "antioxidants" in marketing. That doesn't mean they work the same way or that combining them produces a bigger antioxidant effect; no human trial has tested silymarin plus vitamin C together, at any dose, for any outcome. A 2021 pharmacokinetic review found silymarin's own flavonolignans are poorly absorbed orally on their own — most of an oral dose is processed and excreted before it reaches circulation — and that review didn't test whether vitamin C, or any other compound, changes that absorption.

What's known about taking them together

Milk thistle's documented drug-interaction research — a small, inconsistent set of studies on liver enzymes and one specific blood-pressure medication — doesn't involve vitamin C, so there's nothing in the interaction literature pointing to a problem with combining the two. See milk thistle and medications: what to check for what that research does cover. A product listing both ingredients is combining two separately studied supplements in one capsule, not offering a tested combination with its own evidence.

Questions people ask

Does milk thistle contain vitamin C?

No meaningful amount. No food-composition database lists a vitamin C figure for milk thistle seed or extract.

Is it safe to take milk thistle and vitamin C together?

Nothing in milk thistle's documented interaction research points to a problem, but no trial has specifically tested the combination either — that's the honest answer, not a tested yes.

Does vitamin C help milk thistle absorb better?

Not that any trial has tested. Silymarin's flavonolignans are known to be poorly absorbed on their own; no published research has tested whether vitamin C changes that.

Related reading: how much milk thistle should you take a day and what is milk thistle.

Sources

  1. Systematic review of pharmacokinetics and potential pharmacokinetic interactions of flavonolignans from silymarin Medicinal research reviews · 2021 · PMID 33587317A 2021 systematic review found silymarin's active compounds are poorly absorbed orally, mainly because the body quickly processes and excretes them before much reaches circulation.
  2. Effect of silymarin on the pharmacokinetics of losartan and its active metabolite E-3174 in healthy Chinese volunteers European journal of clinical pharmacology · 2009 · PMID 19221727A 2009 trial found that 420 mg/day of silymarin for 14 days changed losartan blood levels in healthy volunteers, but the effect depended on the person's CYP2C9 genotype.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.