NutriStack
Symptom·Metabolic·Reviewed May 30, 2026
Supplements for Mildly elevated liver enzymes (raised ALT/AST).
When mildly elevated liver enzymes (raised alt/ast) is the complaint, these are the supplements most often associated with it in the NutriStack library, ranked by how directly each one targets it and by the strength of the evidence.
Ranked by relevance, top first.
Relevance reflects how directly each supplement targets this symptom in the NutriStack map. Evidence is the supplement’s own rating. Open any name for the full profile.
- 01Milk ThistleModerate78% match
Silymarin acts as an antioxidant on hepatocytes and has modestly lowered ALT and AST in some liver-injury trials.
SuggestedStandardized silymarin (about 80 percent silymarin) extract - 02Vitamin EModerate74% match
Natural vitamin E has reduced transaminases and steatosis in non-diabetic adults with biopsy-proven NASH in randomized trials.
SuggestedNatural d-alpha-tocopherol - 03Fish OilModerate70% match
Omega-3 fatty acids lower hepatic fat and have reduced liver enzymes in several fatty-liver trials.
SuggestedEPA and DHA triglyceride-form fish oil - 04Curcumin PhytosomeLimited62% match
Curcumin has anti-inflammatory and antioxidant effects and modestly lowered ALT in some fatty-liver studies.
SuggestedPhytosome (phospholipid-bound) curcumin for absorption - 05NACLimited55% match
N-acetylcysteine replenishes glutathione, the liver's main antioxidant defense, and has lowered transaminases in some metabolic-liver studies.
SuggestedN-acetylcysteine capsules - 06BerberineLimited50% match
Berberine improves insulin sensitivity and hepatic lipid handling, indirectly easing the metabolic load that often drives mild enzyme rises.
SuggestedBerberine HCl, split across meals
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These rankings come from the same library that powers the NutriStack app. Open any supplement for full dosing, forms, interactions, and citations.