Best Interventions for Liver Health, Ranked by Evidence

Every intervention Outliyr has scored for liver health, ranked by its BioHarmony score for this use case rather than its overall rating. The number beside each name is how well that one thing works for liver health; the tier beside it is what it is worth once safety, cost and effort are counted across everything else.

46 of 86 evaluated interventions score 3.0+ out of 10 for liver health · 15 comparisons

Ranked for Liver Health

Category
  1. Tirzepatide

    8.3 /10 for liver health 6.1/10 overall Worth trying Metabolic & Incretin Peptide

    The liver-detox use case for Tirzepatide scores 8.3/10, reflecting meta-analysis data that show meaningful weight loss and reductions in insulin resistance, key drivers of MASLD/MASH risk Franco 2025. Tirzepatide's dual GIP/GLP-1 agonism…

    Read the Tirzepatide report →
  2. NAC (N-Acetylcysteine)

    8.0 /10 for liver health 8.0/10 overall Strong recommend Amino Acid

    NAC earns 8.0/10 for liver and detoxification because its single most-proven use is hepatoprotection: as the FDA antidote for acetaminophen overdose it cuts hepatotoxicity to about 6.1 percent when started within 10…

    Read the NAC (N-Acetylcysteine) report →
  3. Retatrutide

    8.0 /10 for liver health 5.6/10 overall Neutral Metabolic & Incretin Peptide

    For liver-detox, Retatrutide lands at 8.0/10 because Rosenstock 2023 supports the strongest part of the claim. The existing rationale points to this narrower claim: The glucagon receptor arm is designed to raise…

    Read the Retatrutide report →
  4. Glycine

    7.6 /10 for liver health 7.9/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Glycine liver detox earns 7.6/10 because Soh 2024 anchors the most relevant signal. Glycine fits liver detox because glycine participates in sleep signaling, glutathione, collagen, methylation, and nervous-system balance, depending on the…

    Read the Glycine report →
  5. Berberine

    7.5 /10 for liver health 6.8/10 overall Worth trying Botanical Extract (non-adaptogenic)

    Berberine fits liver detox at 7.5/10 when the baseline problem is real. Yan 2015 tested berberine in NAFLD, and Nie 2024 pooled 10 RCTs in 811 NAFLD patients with improvements in liver…

    Read the Berberine report →
  6. Semaglutide

    7.5 /10 for liver health 6.0/10 overall Worth trying Metabolic & Incretin Peptide

    Semaglutide scores 7.5/10 for liver-detox because Sanyal 2025 strengthened the phase 3 MASH case after Newsome 2021 showed NASH-resolution benefit. The phrase liver-detox is imperfect here; this is really metabolic liver disease…

    Read the Semaglutide report →
  7. Thymosin Alpha-1

    7.0 /10 for liver health 7.3/10 overall Strong recommend Immune Peptide

    Thymosin Alpha-1 liver detox earns 7.0/10 because Tian 2025 anchors the most relevant signal. Thymosin Alpha-1 fits liver detox when immune modulation is medically relevant and monitored rather than casually guessed. The…

    Read the Thymosin Alpha-1 report →
  8. Ketogenic Diet

    7.0 /10 for liver health 6.6/10 overall Worth trying Practice & Lifestyle

    Population fit explains the 7.0/10 liver detox score for Ketogenic Diet because the evidence points to a plausible use case without proving a universal response. Eshaghhosseiny Z et al. 2024 is the…

    Read the Ketogenic Diet report →
  9. Taurine

    6.8 /10 for liver health 8.1/10 overall Strong recommend Vitamin & Mineral & Nutrient

    For users targeting liver support, Taurine earns 6.8/10 because Tzang 2024 reports 25 RCTs and 1024 participants; lower SBP, DBP, fasting blood glucose, and triglycerides; no significant adverse-effect excess. Tzang 2024 points…

    Read the Taurine report →
  10. Molecular Hydrogen

    6.5 /10 for liver health 8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Mechanistically, Molecular Hydrogen fits liver support at 6.5/10 because Kang 2011 reports Hydrogen-rich water improved quality-of-life and oxidative-stress direction during liver-tumor radiotherapy without reducing tumor response. Ohta 2011 points in the same…

    Read the Molecular Hydrogen report →
  11. BPC-157

    6.5 /10 for liver health 7.5/10 overall Strong recommend Growth & Repair Peptide

    BPC-157 liver detox earns 6.5/10 because Vasireddi 2025 anchors the most relevant signal. BPC-157 fits liver detox when the target is tissue repair, vascular recruitment, or inflammation control, but the case still…

    Read the BPC-157 report →
  12. TUDCA (Tauroursodeoxycholic Acid)

    6.5 /10 for liver health 6.7/10 overall Worth trying Exogenous Metabolite

    TUDCA scores 6.5/10 for liver detox because the most direct human evidence concerns hepatobiliary disease, bile acids, and liver-related endpoints rather than vague detox language. Pan 2013 studied TUDCA in liver cirrhosis,…

    Read the TUDCA (Tauroursodeoxycholic Acid) report →
  13. Tesamorelin

    6.5 /10 for liver health 6.2/10 overall Worth trying Growth Hormone Secretagogue

    Evidence puts Tesamorelin at 6.5/10 for liver detox, mainly through Falutz et al. 2007. HIV-associated fatty liver data support a meaningful liver-fat signal. Stanley 2019 tested tesamorelin in HIV-associated NAFLD, and Fourman…

    Read the Tesamorelin report →
  14. Survodutide (BI 456906)

    6.3 /10 for liver health 5.1/10 overall Neutral Metabolic & Incretin Peptide

    Liver disease is survodutide's strongest case. In a 48-week biopsy-confirmed Phase 2 trial, 62% of patients on 4.8 mg saw their fatty liver disease (MASH) improve with no worsening of scarring, versus…

    Read the Survodutide (BI 456906) report →
  15. Omega-3

    6.0 /10 for liver health 6.8/10 overall Worth trying Vitamin & Mineral & Nutrient

    The liver detox case for Omega-3 lands at 6.0/10 because the evidence points to a plausible use case without proving a universal response. Abuknesha et al. 2025 is the best anchor here…

    Read the Omega-3 report →
  16. Sulforaphane

    6.0 /10 for liver health 6.8/10 overall Worth trying Botanical Extract (non-adaptogenic)

    Detoxification is the strongest single sulforaphane signal in humans. Egner 2014 Qidong RCT in 291 Chinese adults showed urinary benzene conjugate excretion increased 61 percent and acrolein conjugate excretion increased 23 percent…

    Read the Sulforaphane report →
  17. Chlorella

    6.0 /10 for liver health 6.5/10 overall Worth trying Vitamin & Mineral & Nutrient

    The liver case sits at 6.0/10 because Yarmohammadi 2021 pooled 8 RCTs and found AST fell 9.15 U/L (95% CI -16.09 to -2.21), a significant signal, while ALT and ALP did not…

    Read the Chlorella report →
  18. Glutathione (GSH)

    6.0 /10 for liver health 6.2/10 overall Worth trying Amino Acid

    The liver case scores 6.0/10 because the liver holds the body's highest glutathione concentration and runs the Phase II conjugation that glutathione enables. The most direct human signal is Honda 2017, an…

    Read the Glutathione (GSH) report →
  19. Mazdutide (IBI362)

    5.8 /10 for liver health 5.6/10 overall Neutral Metabolic & Incretin Peptide

    Liver fat clearance is the most differentiated thing mazdutide does. Reported reductions run roughly 72 to 80 percent in participants with high baseline liver fat, with the GLORY-1 high-baseline subgroup near 80…

    Read the Mazdutide (IBI362) report →
  20. Zone 2 Cardio

    5.5 /10 for liver health 8.3/10 overall Strong recommend Cardiovascular

    A 5.5/10 for liver-detox fits Zone 2 Cardio because Vabishchevich 2026 supports direction more than certainty. The existing rationale points to this narrower claim: Zone 2 can reduce hepatic fat through improved…

    Read the Zone 2 Cardio report →
  21. Spirulina

    5.5 /10 for liver health 7.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Liver health scores 5.5/10 because the NAFLD signal is suggestive but thin. Mazloomi 2022 ran a randomized double-blind trial in 46 NAFLD patients using 20 g/day for 8 weeks and reported significant…

    Read the Spirulina report →
  22. Metformin

    5.5 /10 for liver health 6.9/10 overall Worth trying Other Pharmaceutical

    Metformin's liver-detox use-case scores 5.5 / 10, reflecting modest evidence such as the UKPDS trial that showed metformin lowers hepatic glucose output in overweight diabetics UK Prospective Diabetes Study Group 1998. Metformin…

    Read the Metformin report →
  23. Spermidine

    5.2 /10 for liver health 7.6/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Spermidine's 5.2/10 liver-detox score starts with Kiechl 2018, then gets narrowed by the evidence gap. The existing rationale points to this narrower claim: this verified source supports liver fibrosis and hepatocellular-carcinoma prevention…

    Read the Spermidine report →
  24. Essential Amino Acids

    5.0 /10 for liver health 8.0/10 overall Strong recommend Amino Acid

    For users targeting liver support, Essential Amino Acids earns 5.0/10 because Hagiyama 2024 reports 12 RCTs; 622 patients; low-certainty improvement in patient-reported outcomes and very-low-certainty strength signal after lower-limb surgeries. Wittholz 2024…

    Read the Essential Amino Acids report →
  25. Ca-AKG (Calcium Alpha-Ketoglutarate)

    5.0 /10 for liver health 6.5/10 overall Worth trying Vitamin & Mineral & Nutrient

    Ca-AKG (Calcium Alpha-Ketoglutarate)'s 5.0/10 liver-detox score starts with Filip 2007, then gets narrowed by the evidence gap. The existing rationale points to this narrower claim: No direct liver-detox evidence. AKG participates in…

    Read the Ca-AKG (Calcium Alpha-Ketoglutarate) report →
  26. Pine Pollen

    5.0 /10 for liver health 5.7/10 overall Neutral Adaptogenic Herb

    Liver support scores 5.0 out of 10 on the strength of repeated animal hepatoprotection data. Zhou 2018 found Pinus massoniana pollen polysaccharides lowered AST, ALT, ALP, and MDA dose-dependently in CCl4-challenged rats,…

    Read the Pine Pollen report →
  27. SLU-PP-332

    5.0 /10 for liver health 4.7/10 overall Neutral Research Compound

    The evidence base for SLU-PP-332 liver-detox is limited to a single pre-clinical study that reported a roughly 20 % improvement in hepatic steatososis markers in mice with metabolic syndrome Billon 2024. SLU-PP-332…

    Read the SLU-PP-332 report →
  28. Whole-Body Vibration

    4.5 /10 for liver health 7.3/10 overall Strong recommend Other Device

    No direct liver-detox evidence. Circulation and sweating claims should not be translated into liver clearance or toxin-elimination claims.

    Read the Whole-Body Vibration report →
  29. GlyNAC (Glycine + N-Acetylcysteine)

    4.5 /10 for liver health 6.7/10 overall Worth trying Amino Acid

    Liver support scores 4.5/10. The NAC component is the proven antidote that restores hepatic glutathione in acetaminophen overdose, validating the detoxification pathway, but GlyNAC as a combination has no dedicated liver-outcome trial,…

    Read the GlyNAC (Glycine + N-Acetylcysteine) report →
  30. Ergothioneine

    4.5 /10 for liver health 6.6/10 overall Worth trying Vitamin & Mineral & Nutrient

    Liver enzymes were stable to improved in human dosing studies, and ergothioneine concentrates in the liver, but dedicated hepatic-outcome trials are absent. No detox framing.

    Read the Ergothioneine report →
  31. Ozone Therapy

    4.5 /10 for liver health 5.1/10 overall Neutral Therapy & Modality

    Preserved v0.x score. Detox positioning is not supported by verified clinical outcomes. Mechanistic liver-protection ideas come from oxidative-preconditioning literature summarized by Sagai and Bocci 2011, but no human trial in the audit…

    Read the Ozone Therapy report →
  32. C15 (Pentadecanoic Acid)

    4.5 /10 for liver health 4.9/10 overall Neutral Vitamin & Mineral & Nutrient

    The TANGO trial (Chooi 2024, n=88, 12 weeks) supports an Asian-adapted Mediterranean diet for fatty liver and suggests C15:0 may add a small adjunctive signal, including LDL-cholesterol and gut-microbiome shifts. The main…

    Read the C15 (Pentadecanoic Acid) report →
  33. Curcumin

    4.2 /10 for liver health 6.5/10 overall Worth trying Botanical Extract (non-adaptogenic)

    There is an irony here. Curcumin improves liver enzymes and fat markers in NAFLD trials, yet enhanced-absorption forms are the ones linked to rare idiosyncratic liver injury. For fatty-liver support the signal…

    Read the Curcumin report →
  34. Rapamycin

    4.1 /10 for liver health 6.8/10 overall Worth trying Pharmaceutical & Drug

    INSUFFICIENT_EVIDENCE for liver detoxification; hepatic enzymes are monitoring targets because of metabolism and safety, not expected benefit.

    Read the Rapamycin report →
  35. Polyphenols (Dietary)

    4.0 /10 for liver health 7.6/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Liver scores 4.0/10 and cuts both ways: coffee polyphenols associate with lower liver-disease and fibrosis risk in cohorts, but high-dose isolated green-tea catechin extracts carry a rare idiosyncratic hepatotoxicity signal. Whole-food intake…

    Read the Polyphenols (Dietary) report →
  36. Quercetin

    4.0 /10 for liver health 6.8/10 overall Worth trying Botanical Extract (non-adaptogenic)

    The MASLD meta-analysis by Arslan 2025 suggests preliminary liver enzyme, lipid, and inflammation improvements with quercetin in MASLD adults, but the synthesis is new and study counts and bias profiles are still…

    Read the Quercetin report →
  37. Astaxanthin

    3.5 /10 for liver health 7.8/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Hepatoprotective preclinical data exists, but human liver-outcome evidence remains weak and v1.0 avoids detox framing.

    Read the Astaxanthin report →
  38. Orforglipron (Foundayo)

    3.5 /10 for liver health 5.8/10 overall Worth trying Weight-Management Drug (non-peptide)

    Modest, indirect liver benefit through weight loss and falling ALT, but no dedicated fatty-liver program.

    Read the Orforglipron (Foundayo) report →
  39. TRT (Testosterone Replacement Therapy)

    3.5 /10 for liver health 5.7/10 overall Neutral Pharmaceutical & Drug

    Modern testosterone routes avoid the severe hepatotoxicity associated with older methylated oral anabolic steroids. Still, liver enzymes, lipids, alcohol use, and product selection need monitoring, especially with oral formulations.

    Read the TRT (Testosterone Replacement Therapy) report →
  40. Resveratrol

    3.5 /10 for liver health 5.6/10 overall Neutral Botanical Extract (non-adaptogenic)

    Liver and detox claims remain weak. Akbari 2020 found no significant effect on ALT or AST in metabolic-syndrome-related RCTs, despite a small total-cholesterol signal and increased GGT. Human NAFLD translation has been…

    Read the Resveratrol report →
  41. Sodium Butyrate

    3.2 /10 for liver health 6.0/10 overall Worth trying Exogenous Metabolite

    A small calcium-butyrate trial in metabolic-associated fatty liver showed some benefit, but it is underpowered and not replicated.

    Read the Sodium Butyrate report →
  42. Norwegian 4×4

    3.0 /10 for liver health 8.5/10 overall Strong recommend Cardiovascular

    Exercise improves hepatic fat metabolism and metabolic health, but the report avoids detox language beyond liver-fat and metabolic markers.

    Read the Norwegian 4×4 report →
  43. Tongkat Ali

    3.0 /10 for liver health 7.0/10 overall Strong recommend Adaptogenic Herb

    LiverTox lists Tongkat Ali as a rare possible cause of clinically apparent liver injury, while standardized-extract trials have not shown consistent liver-enzyme problems. This is a caution score, not a detox claim.

    Read the Tongkat Ali report →
  44. Fucoidan (Brown Seaweed Polysaccharide)

    3.0 /10 for liver health 6.4/10 overall Worth trying Vitamin & Mineral & Nutrient

    Hepatoprotective signals are preclinical only; no human liver-outcome evidence and v2.0 avoids detox framing.

    Read the Fucoidan (Brown Seaweed Polysaccharide) report →
  45. Quinton Marine Plasma (Seawater Minerals)

    3.0 /10 for liver health 5.9/10 overall Worth trying Vitamin & Mineral & Nutrient

    Hataguchi 2005 noted lower hair levels of toxic minerals, but this is not a controlled detoxification endpoint and the report avoids detox framing.

    Read the Quinton Marine Plasma (Seawater Minerals) report →
  46. Adaptogenic Mushrooms (Reishi, Cordyceps, Chaga)

    3.0 /10 for liver health 5.8/10 overall Worth trying Functional Mushroom

    Hepatoprotective preclinical data for chaga and reishi triterpenes, but the one notable human liver signal is a fatal powdered-reishi hepatitis case report, so the human picture is cautionary, not protective.

    Read the Adaptogenic Mushrooms (Reishi, Cordyceps, Chaga) report →

Comparisons that judge liver health

Head-to-head reports and category rankings that name a winner on this use case.

3 more comparisons touch on liver health →

Questions about liver health

What scores highest for liver health?

Tirzepatide, at 8.3 out of 10 for liver health. The liver-detox use case for Tirzepatide scores 8.3/10, reflecting meta-analysis data that show meaningful weight loss and reductions in insulin resistance, key drivers of MASLD/MASH risk Franco 2025.

What is the cheapest thing that works for liver health?

Of the top-scoring options, Glycine is the least expensive at about $2 a month, scoring 7.6 out of 10 for liver health.

How many interventions has Outliyr scored for liver health?

46 of the 86 interventions evaluated for liver health score 3.0 out of 10 or better, which is the cut-off for appearing on this page.