NOW Foods, Liver Refresh™, 90 Veg Capsules
This product is a dietary supplement. These statements have not been evaluated by DRAP (Drug Regulatory Authority of Pakistan) or the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease, including any diagnosed liver condition or diabetes. Consult a healthcare professional before use, particularly if you have a diagnosed liver condition, are diabetic, hypoglycemic, on blood sugar or blood-thinning medication, pregnant, nursing, or managing any medical condition.
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NOW Foods Liver Refresh (90 Veg Capsules) — (Pakistan Market)
A Genuinely Complex Formula — Worth Breaking Down Ingredient by Ingredient
This isn't a simple single-herb product, so rather than a generic "supports liver health" description, we think it's worth actually walking through what each component contributes, since this formula combines 13 distinct ingredients across several different categories of liver-supportive nutrients.
The Foundation: Milk Thistle
At 300mg (standardized to 240mg silymarin flavonoids, an 80% concentration), milk thistle is the anchor ingredient here and the most extensively researched liver-support herb available. Silymarin, its key active compound complex, is associated with improving liver function markers, protecting liver cells against oxidative damage, helping block and remove toxins, and supporting the regeneration of stressed liver cells.
The Detoxification Trio: Glutathione, NAC, and Methionine
Glutathione (100mg, as Setria, a specific branded form) is the body's own primary antioxidant and detoxifier, and NAC (N-Acetyl Cysteine, 100mg) along with L-Methionine (20mg) are both included specifically because they serve as building blocks your body uses to produce more of its own glutathione — rather than just supplying glutathione directly, this formula supports your body's internal production pathway as well.
A Detail Worth Cross-Referencing: This Contains Barberry, a Berberine-Containing Herb
At 30mg, Barberry (Berberis vulgaris, root bark) is included in this formula, and it's worth connecting this to our standalone Berberine products (NOW Foods Berberine HCl and Thorne Berberine): barberry is a natural source of berberine, the same compound isolated and concentrated in those dedicated products, though at a much smaller amount here within a broader blend. Because berberine is associated with effects on blood glucose metabolism, if you're diabetic, hypoglycemic, or taking blood sugar medication, the same general caution we've applied to our dedicated berberine listings is worth extending here too, even at this smaller, blended dose.
A Small Amount of Turmeric
At 30mg, organic turmeric is included here at a much lower dose than our dedicated curcumin products (which range from 200mg to 1,000mg of standardized extract). At this level, it's functioning as a supportive antioxidant addition rather than a therapeutic curcumin dose, though the same general turmeric-related consideration around gallbladder and bile production is worth keeping in mind, even if less pronounced at this amount.
Additional Botanicals and Nutrients
Rounding out the formula: a Herbal-Enzyme Blend (artichoke leaf, beet root, raspberry leaf, and pancreatin/pancreatic enzymes) at 90mg, Grape Seed Extract (100mg, standardized for polyphenols), Alpha Lipoic Acid (100mg — the same antioxidant featured in our standalone ALA listings), L-Carnitine (50mg), Scute/Scutellaria baicalensis root (50mg), and Schisandra fruit (100mg), a berry with its own traditional history of use for protecting liver cells from toxin exposure.
The Most Important Thing to Say About This Product
If you have an actual diagnosed liver condition — hepatitis, fatty liver disease, cirrhosis, or any other liver diagnosis — please treat this as a decision to make with your doctor, not something to self-select off a supplement shelf. A genuinely diagnosed liver condition requires medical management, and while ingredients like milk thistle have research behind them, this product is a general wellness supplement, not a treatment for any diagnosed liver disease. This is also worth being fully transparent about with your doctor given how many active ingredients are combined here, several of which (Alpha Lipoic Acid, barberry/berberine, grape seed extract) have their own individual considerations around blood sugar and blood clotting that are worth your doctor knowing about in full.
Ingredient Breakdown
| Ingredient | Amount per Serving (3 capsules) | Notes |
|---|---|---|
| Milk Thistle Extract (Silybum marianum, fruit/seeds), standardized to 240mg Silymarin Flavonoids (80%) | 300 mg | Primary liver-support ingredient |
| Herbal-Enzyme Blend (Artichoke leaf, Beet root, Raspberry leaf, Pancreatin) | 90 mg | Supportive digestive and antioxidant blend |
| L-Glutathione (Reduced, as Setria) | 100 mg | The body's primary antioxidant/detoxifier |
| N-Acetyl Cysteine (NAC) | 100 mg | Supports the body's own glutathione production |
| Grape Seed Extract (Vitis vinifera), standardized for polyphenols | 100 mg | Antioxidant support |
| Alpha Lipoic Acid | 100 mg | Antioxidant active in both water and fat-soluble environments |
| L-Carnitine (from L-Carnitine Tartrate) | 50 mg | Supports cellular energy metabolism |
| Scute (Scutellaria baicalensis), root | 50 mg | Traditional Chinese herbalism ingredient |
| Schisandra (Schisandra chinensis), fruit | 100 mg | Traditional liver-protective herb |
| Barberry (Berberis vulgaris), root bark | 30 mg | Natural source of berberine — see blood sugar note above |
| Organic Turmeric (Curcuma longa), root | 30 mg | Lower-dose antioxidant addition |
| L-Methionine | 20 mg | Supports the body's own glutathione production |
| Microcrystalline Cellulose, Hypromellose (cellulose capsule), Silicon Dioxide, Stearic Acid, Magnesium Stearate (or Gum Arobic/Ascorbyl Palmitate/Maltodextrin in some production batches) | — | Vegetarian capsule and fillers |
Vegetarian. Soy-free, dairy-free, egg-free, nut-free. Not manufactured with wheat, gluten, soy, milk, egg, fish, shellfish, tree nut, or sesame ingredients.
Dosage Chart
| Detail | Recommendation |
|---|---|
| Standard adult dose | 3 capsules daily with food |
| For adults only | Not intended for anyone under 18 |
| Must consult a physician first if | You have a diagnosed liver condition, are diabetic or hypoglycemic, or take blood sugar or blood-thinning medication |
| Consult a physician if | Pregnant, nursing, taking other medication, or managing any medical condition |
| Storage | Cool, dry place; do not eat the enclosed freshness packet |
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