If pregnant or lactating, consult your physician before taking this product.
Some ingredients may cause gastrointestinal discomfort in certain individuals, including cramping, flatus, nausea, vomiting, diarrhea or dyspepsia.
In rare cases, alpha lipoic acid may cause skin rash in sensitive individuals.
Rare side effects of n-acetyl-l-cysteine and milk thistle include headache, dry mouth, itching and dizziness.
Milk thistle and artichoke should be avoided by individuals with allergies to members of the aster (Compositea/Asteraceae) family, daisies, artichoke, kiwi or thistle.
Artichoke and curcumin should be used with caution in patients with bile duct obstruction.
Some studies have reported that milk thistle and curcumin can alter the way that the liver breaks down medications metabolized by the cytochrome P450 system, altering the effects of these medications and possibly the dose needed for treatment.
Curcumin may react with blood thinning medications.
Consult your physician for more information.