Many people in Thailand turn to dietary supplements to boost wellbeing. A recent study published in JAMA Network Open in 2024 raises concerns that some well-liked botanicals may harm liver health. The liver is essential for detoxification and metabolism, and damage can lead to serious consequences, including liver failure.
The research identified six botanical supplements linked to liver toxicity: Ashwagandha, Black Cohosh, Garcinia Cambogia, Green Tea Extract, Red Yeast Rice, and Turmeric/Curcumin. These products are often marketed for arthritis relief, menopause symptoms, and other age-related concerns. In Thailand, where herbal remedies are deeply rooted in culture, this finding resonates with many consumers who trust “natural” solutions.
Liver injury from these botanicals can occur suddenly or accumulate over time, potentially requiring urgent medical care or transplantation. The liver, home to detoxifying processes, becomes overwhelmed by certain compounds even when derived from nature. As noted by a transplant hepatologist, natural does not mean risk-free; all compounds must pass through the liver.
In Thailand, traditional herbal practices frequently coexist with modern medicine. The new evidence suggests a need for greater awareness about the hepatotoxic potential of supplements. Thailand’s vibrant herbal scene, while culturally significant, must be navigated with caution and informed choices.
Health experts emphasize careful evaluation before starting any supplement. A respected clinician notes that everything ingested is processed by the liver, underscoring the importance of safety—especially for individuals with pre-existing liver conditions. Seek guidance from qualified healthcare professionals and verify product ingredients.
Regulatory oversight in Thailand shares similarities with other regions, where supplements are not as strictly regulated as medicines. This raises the risk of mislabeled or unsafe substances appearing on the market. Consumers should prioritize products from reputable brands that pursue third-party testing and quality assurance.
To reduce risk, experts recommend:
- Use trusted resources for information, such as LiverTox-based guidance, and consult healthcare providers before use.
- Read labels carefully and be wary of exaggerated claims about liver health benefits.
- Consider regular liver health checks if you are taking any supplement long-term.
For those already taking these supplements, consult a healthcare professional to review risks, alternatives, and the best course of action for your situation.
Ultimately, a thoughtful, evidence-based approach to supplementation can protect liver health while allowing traditional and modern practices to complement each other. By staying informed and seeking medical guidance, Thai consumers can make safer choices that align with cultural expectations and personal health goals.