A patient with type 2 diabetes and cirrhosis asks the nurse if it would be okay to take silymarin (milk thistle) to help minimize liver damage. The nurse responds based on what knowledge?
A. Milk thistle may affect liver enzymes and thus alter drug metabolism.
B. Milk thistle is generally safe in recommended doses for up to 10 years.
C. There is unclear scientific evidence for the use of milk thistle in treating cirrhosis.
D. Milk thistle may elevate the serum glucose levels and is thus contraindicated in diabetes.
Answer: A. Milk thistle may affect liver enzymes and thus alter drug metabolism.
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