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While they found better skin outcomes in participants who used hydroquinone cream (a common melasma intervention), they also concluded that topical silymarin was also effective and produced fewer side effects.28 Wrinkles A lack of skin moisture is one of the factors behind fine lines and wrinkles.29 According to a 2012 study published in the African Journal of Biotechnology , milk thistle extract, emulsified into a topical cream, may help combat wrinkle formation by boosting moisture retention and preventing transepidermal water loss.30 An important caveat to consider is that all of our top recommended milk thistles are oral supplements, and research on oral milk thistle for the above purposes is somewhat lacking

Choose organic, chemical-free products, avoid plastic containers in favor of glass or stainless steel, and limit exposure to pesticides and synthetic chemicals

By Lisa Sanders, M.D

Many people have a dietary B12 deficiency, as it is only prevalent in red meats, organ meats like liver, and eggs

Laboratory experiments suggest that the peptide is well-tolerated with virtually no toxicity, even at high doses [52]