Veruma · Wellness guide
The liver–heart connection
Liver and heart health share risk factors. Understanding that relationship helps you focus on the habits and health checks that matter.
Shared risk factors. Habits that support both.
What do they have in common?
A build-up of fat in the liver is known as fatty liver disease; you may also see the term metabolic dysfunction-associated steatotic liver disease (MASLD). Type 2 diabetes, excess weight and some blood-fat problems are associated with this condition.
NIDDK identifies cardiovascular disease as a possible complication in people with fatty liver disease. This association does not mean everyone with fatty liver has a heart condition, or that a liver supplement can prevent one.
Four practical steps for your routine
1. Choose balanced meals
Eat a variety of foods and limit sugary drinks. If you need to change your weight, work with a professional on a plan that suits you.
2. Move regularly
Physical activity can help even without weight loss. Choose something you can maintain and adapt the intensity to your health.
3. Review your risk factors
Discuss blood pressure, blood sugar and cholesterol with your healthcare professional, especially if you have diabetes or fatty liver disease.
4. Discuss alcohol
If you have liver disease, ask what limits or abstinence measures are appropriate. Do not use supplements to compensate for drinking alcohol.
Where does milk thistle fit?
Milk thistle contains silymarin and is used in supplements. NCCIH reports conflicting or limited findings from studies in people with liver disease. It is not an established treatment for liver or heart disease.
Ask a healthcare professional before taking it if you use medicines, are pregnant or breastfeeding, or have a medical condition. Herbal products can interact with medicines.
Do not rely only on how you feel
Fatty liver disease often has few or no symptoms. Feeling well does not rule out a problem. If you have risk factors, discuss appropriate assessment with your healthcare professional.
Sources and further reading
- NIDDK — Definition and facts about fatty liver disease
- NIDDK — Eating, diet and nutrition
- NIDDK — Symptoms and causes
- NIDDK — Treatment and physical activity
- NCCIH — Milk thistle: evidence and safety
This guide provides general information and does not replace diagnosis, treatment or advice from a healthcare professional. Supplements should not replace medical care.