Can I take Calcium Citrate with Milk Thistle?

Understanding the interactions, benefits, and safety of combining these two powerful supplements.

Calcium Citrate
+
Milk Thistle

Short answer

We found no documented interaction between Calcium and Milk thistle in the sources below. That isn't proof the combination is right for you: check each one's cautions, and ask your pharmacist if you take medication.

Calcium

What it is: The body's most abundant mineral; it builds bones and teeth and helps muscles, nerves and blood vessels work.

What the research says: Calcium supports bone health, especially when diet falls short. Vitamin D helps the body absorb it.

Cautions

  • Upper limit from all sources: 2,500 mg a day for adults 19 to 50, and 2,000 mg from age 51.
  • Some research links very high intakes to heart disease and prostate cancer risk.

Medicines to check

  • Levothyroxine (thyroid medicine): keep doses apart
  • Quinolone antibiotics: keep at least 2 hours apart
  • Dolutegravir (HIV medicine) and lithium

In Holitro: Calcium Citrate (160 mg per capsule)

Source: NIH Office of Dietary Supplements: Calcium: Fact Sheet for Consumers (updated September 2023)

Milk thistle

What it is: A flowering plant whose extract, silymarin, is sold for liver health.

What the research says: There isn't enough good evidence to draw conclusions. Small studies suggest it may help blood sugar in type 2 diabetes; liver-disease trials have been conflicting.

Cautions

  • Usually well tolerated; it can cause bloating, nausea or gas.
  • It can trigger allergies in people allergic to ragweed, daisies or marigolds.
  • Little is known about use in pregnancy or breastfeeding.

Medicines to check

  • Talk to your clinician if you take any medicine

In Holitro: Milk Thistle (450 mg per capsule)

Source: NIH National Center for Complementary and Integrative Health: Milk Thistle: Usefulness and Safety (updated February 2025)

Check with your doctor or pharmacist, especially if you take medication.

Check your stack β€” free

Educational information only, not medical advice. This reflects general ingredient overlap, not a personalized safety review. Always check with your doctor or pharmacist before combining supplements, especially if you take medication, are pregnant or nursing, or manage a health condition. These statements have not been evaluated by the FDA.

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