Liver Cleanse: What It Is and How to (Really) Do Them

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Wellness Mama » Blog » Natural Remedies » Liver Cleanse: What It Is and How to (Really) Do Them

I’ve had a lot of questions over the years about how to do a liver cleanse. In today’s toxin-filled world, our liver & gallbladder can certainly take a beating. Here’s how to naturally support your liver and do a cleanse (although it’s probably not what you think!).

What Is a Liver Cleanse?

There are several natural remedies touted to help with gallbladder stones and liver cleansing. One of the more popular ones is a high fat drink with olive oil, lemon juice or grapefruit juice, and Epsom salts (magnesium sulfate).

The person doing the liver detox starts by eating apples or drinking apple juice for several days. They then move on to drinking Epsom salts in water, followed by large amounts of olive oil and citrus. The person then lies on their right side (some sources say left) and lets the laxatives do their work.

The idea behind this is to build up bile in the gallbladder and then quickly increase bile flow. This gallbladder flush is thought to release gallstones that cause gallbladder problems. But does it really work?

First, we have to look at how our liver and gallbladders function.

Liver and Gallbladder Anatomy 101

Our liver is responsible for helping our body with detoxification. To name a few things, the liver:

  • Regulates chemicals in the blood
  • Converts glucose into the storable form (glycogen)
  • Regulates amino acids in the blood, which are the building blocks of protein
  • Makes cholesterol
  • Is responsible for bile production
  • Stores iron
  • Oversees blood clotting
  • Processes hormones
  • Helps clear bilirubin from red blood cells

In all, the liver performs over 500 everyday functions we need to survive. It creates the bile that’s then transported and stored in the gallbladder. When we eat fats, the gallbladder releases some bile salts into our small intestine. This helps us digest fats and certain vitamins and eliminates waste products.

Gallbladder Health

Most of us don’t think about our gallbladder until it starts to cause problems. Certain people are at risk of getting gallstones, which can cause pain (including abdominal pain), nausea, and vomiting. Especially after eating. Women are 2 times as likely as men to get gallstones.

The good news is, over two-thirds of people with gallstones don’t have any negative symptoms. Other high-risk groups include pregnant women, diabetics, and people with rapid weight loss. The problem is when the gallstones migrate into and block the common bile duct. This tiny tube connects the liver, gallbladder, and small intestine. If gallstones block the duct to the pancreas, it can be deadly.

Conventional medicine’s only solution to these attacks is gallbladder removal surgery. It’s an important part of the digestive system, so I’d like to keep mine if possible!

Show Your Liver Some Love

With such important jobs to do, we want to support our liver and gallbladder. When it comes to liver cleanses though, opinions are divided. Some say our livers are meant to detox and they don’t need any interference from us. Other wellness experts promote harsh or drastic cleansing protocols to help things along.

The question is: do liver cleanses work and what’s the best way to do it?

Do Liver Cleanses Work?

Earlier in the article, I gave one common example of a liver cleanse. Other popular options include liver detoxing supplements and pills.

There’s some anecdotal evidence a gallbladder flush may reduce the number of gallstones. And because you’re fasting and taking high doses of laxatives, it does help clear out the digestive system. This can help relieve bloating, and constipation, and stimulate bowel movements.

Many people have seen other improvements in their gallbladder function or pain. Others didn’t see any difference and instead had side effects like nausea, vomitting, and diarrhea. In severe cases there are reports of serious gallbladder issues requiring surgery after such cleanses. Some people swear by them, but there isn’t much solid research behind them.

The idea likely originated from a 1999 opinion letter published in The Lancet medical journal. A chemical engineer details how his wife drank apple juice and olive oil. She later passed soft, brown “stones” in her stool the next day.

People who do this cleanse end up passing lots of green chunks in their stool. However, those green chunks probably aren’t gallstones.

A Different Way to Make Soap

Other researchers have done detailed examinations of the “gallstones” passed during a gallbladder cleanse. Real gallstones are made up of various materials. These include undissolved cholesterol, bilirubin, and cholesterol.

In studies, the “stones” passed during a liver cleanse didn’t have any of these materials. What they did have were fatty acids and potassium carboxylates. In other words, the olive oil and citrus juice combined in the body to make soap. While it makes for an impressive bowel movement, it may not do much for the liver.

The Best Way to Do a Liver Cleanse

While it isn’t flashy, the best way to support our liver and gallbladder is with consistent, healthy habits. Unfortunately, we do live in a toxin-filled world and our bodies can get bogged down with it all. That’s why I do things like detox baths and armpit detoxes.

Minimizing toxin exposure where possible and supporting our natural detox processes can go a long way. There are several ways to give our livers (and gallbladders) some extra love.

Feed Your Liver

Like most health issues, it all starts with the food we put in our bodies. Livers are one of the only organs that can regenerate themselves. If we give our body better building materials, we’ll have healthier organs.

Coffee is one surprising way to support liver health. It can help lower liver enzymes and improve inflammation. While I do enjoy sipping on a little coffee several times a week, it can be easy to overdo it. Green tea has less caffeine and also shows liver-boosting benefits.

Our livers also need amino acids so we can make proteins. Grass-fed meats, pasture-raised chicken, and grass-fed dairy (if tolerated) are all healthy protein sources. Sometimes we need a little extra amino acid boost, which is why I take this amino acid supplement.

Here are some more foods to help your liver:

  • Dark leafy greens and vitamin K-rich foods to help the liver with blood clotting
  • Glutathione production foods for detox. Cruciferous veggies, kale, watercress, and onions are all good examples.
  • Antioxidant-rich foods, like berries (cranberries, blueberries, etc.) to reduce inflammation
  • Fruits, vegetables, and the occasional healthy grains for fiber to stay regular.
  • Eat healthy fats that signal the body to release bile, preventing buildup in the gallbladder. If you have (or suspect) pancreatitis or a gallbladder blockage then fats can cause more problems during this period.

Coffee Enemas

I mentioned earlier how drinking coffee may have some liver benefits. It turns out that’s not the only way coffee can boost liver function! Coffee enemas trigger the liver to release bile and flush toxins. They then soften the stool so those toxins are easily pushed out. It can also help prevent toxins from accumulating and recirculating in the body.

Here’s more about coffee enemas and how to do them.

Herbs for Liver Cleansing

While there may not be a magic pill, there are plenty of herbs that help support the liver and gallbladder. These are often divided into a few different categories

  • Cholagogues – Helps the gallbladder contract to increase bile flow into the intestines
  • Cholerectic herbs – Stimulates the liver to increase bile production
  • Nutritive herbs – These are used in larger amounts in cooking and tea like food. They’re a nutrient-dense way to support bodily functions. Examples include nettle, dandelion, and red raspberry leaf.

A Word of Caution

Most medical advice is in agreement that if you have gallstones blocking ducts, herbal remedies may cause more harm than good. If you’re experiencing any of the following symptoms you could have pancreatitis or a bile duct blockage:

  • Sudden abdominal pain
  • Chills
  • Fever
  • Nausea and/or vomiting
  • Pain that travels up to the shoulder or chest
  • Pain in your right shoulder or between the shoulder blades

These aren’t all of the possible symptoms. If you suspect there’s a gallstone blockage check in with your doctor or local hospital. Gallstone pancreatitis is deadly if left untreated. Other complications can arise from serious gallstone problems.

With that said, if you have some gallbladder sludge or are at risk for stones and want to help move things along, here are some natural remedies. Disclaimer: I’m not a doctor, so check with your healthcare practitioner before starting any new regimen.

Milk Thistle

Milk thistle has been used to help the liver for thousands of years. In Traditional Chinese Medicine it’s used to reduce liver inflammation, strengthen, and tone the organ. It’s used to help digest fats and flush toxins. It helps support bile flow to the gallbladder which helps with digestion, blood sugar regulation, and constipation.

This herb can also help protect the liver from damage caused by toxins. It’s traditionally paired with dandelion root, turmeric, and artichoke leaf for liver detox.

You can find milk thistle tincture or herb to use in tea. Many people use standardized capsules. These have a concentrated form of the active ingredient, silymarin. It should be used with caution by those on insulin and similar medications.


I use dandelion leaf in recipes like Bieler’s broth and iced lime and dandelion tea. While it’s often the bane of lawnmowers, this unassuming herb has some impressive benefits. As a bitter herb, it helps stimulate digestion, bile, and enzymes. Dandelion root is also a choleretic. It helps us better digest fats, and improve liver and gallbladder inflammation and congestion.

Drinking dandelion root tea is a great way to give the liver a boost. According to Germany’s Commission E, there are a few precautions. Dandelion shouldn’t be used for blocked bile ducts, a pus-filled gallbladder (rare), or when gallstones are stuck in the small bowel.

It’s a nutritive herb that herbalists consider generally safe for most people. You can read more about dandelion root and how to use it here.

Artichoke Leaf

Yes, the same leaves that are attached to those delicious artichoke hearts. Artichoke leaf has a long history of use for liver and gallbladder support. A 1994 study showed it increased bile flow. Animal and human studies demonstrate its ability to protect against liver damage. Because it stimulates bile, it also helps with digestion and constipation.

In rare cases, it can cause an allergic reaction, but it’s generally very safe. Artichoke leaf is not recommended for those with blocked bile ducts or liver disease. You can use it as a tincture, tea, or in capsules.

Oregon Grape Root

Yet another bitter herb. Oregon grape root helps stimulate liver function and increase bile flow. There’s also evidence it can help normalize liver enzymes and inflammation. Herbalist Michael Tierra recommends using it with dandelion and fennel for gallstones. However, it’s not recommended for a blocked gallbladder or hyperthyroid.

You can take Oregon grape root as a tea, tincture, or capsule. Since it’s at risk of becoming endangered, it’s best to use cultivated sources.

There are many other herbs that can help with the liver and gallstones. Some of these include yellow dock, barberry, helichrysum, and turmeric. Be sure to do your research and see which herbs are a good fit for your own situation.

liver cleanse tea

Liver Detox Tea Recipe

This simple recipe features digestive and liver supporting herbs.
Prep Time 3 minutes
Cook Time 15 minutes
Total Time 18 minutes
Calories 23kcal
Author Katie Wells


1 serving



  • In a small saucepan with the lid on bring the water to a boil.
  • Add the herbs, cover, and let steep for 15 minutes.
  • Strain well and sweeten to taste with honey if desired.


Nutrition Facts
Liver Detox Tea Recipe
Amount Per Serving (1 serving)
Calories 23 Calories from Fat 1
% Daily Value*
Fat 0.1g0%
Saturated Fat 0.02g0%
Polyunsaturated Fat 0.01g
Monounsaturated Fat 0.01g
Sodium 12mg1%
Potassium 16mg0%
Carbohydrates 6g2%
Fiber 0.1g0%
Sugar 6g7%
Protein 0.1g0%
Vitamin C 0.2mg0%
Calcium 8mg1%
Iron 0.2mg1%
* Percent Daily Values are based on a 2000 calorie diet.


  • You can also use stevia if preferred. Try adding a splash of milk for a creamy version!
  • Drink up to 1-2 cups a day or as desired for liver, gallbladder, and digestive support. 

Who Can Drink Liver Detox Tea?

In general, this tea is considered safe for most people. Experts have mixed opinions, but I avoid internal detox during pregnancy. Breastfeeding moms may also want to exercise caution. If you have a gallbladder blockage or are on insulin, consult your doctor before use.

It won’t clear out gallstones in one fell swoop. This liver detox tea is designed for the longer game. Supporting the liver’s job and encouraging bile flow, it’s a gentle way to help the gallbladder and liver function their best!

Have you ever done a liver flush before? What do you use to support your liver? Leave a comment and let me know!

  1. Johns Hopkins Medicine. (n.d.). Gallstone Pancreatitis.
  2. Johns Hopkins Medicine. (n.d.). Liver: Anatomy and Functions.
  3. The Herbarium (n.d.). Monographs.
  4. Dekkers, R. (1999, December 18). Apple juice and the chemical-contact softening of gallstones. The Lancet, 354 (9196), P2171.
  5. Kunik, K. (2022, April 7). 10 Foods High in Sulfur, and Why They’re So Good for You. Livestrong.
  6. Cleveland Clinic. (2022, August 18). 8 Foods for Your Liver: Keep your liver happy with these foods. Health Essentials.
  7. Gaby, A. (2009). Nutritional Approaches to Prevention and Treatment of Gallstones. Alternative Medicine Review. 14(3).
  8. Sies, C. & Brooker, J. (2005, April 16). Could these be gallstones? The Lancet Correspondence. 365(9568), 1388.
  9. Bauer, B. (2022, March 5). Gallbladder cleanse: A ‘natural’ remedy for gallstones? Mayo Clinic.
Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.


106 responses to “Liver Cleanse: What It Is and How to (Really) Do Them”

  1. Tina Walker Avatar
    Tina Walker

    Yes this does work! Not here to convince you, it’s your body, I am thankful I read about this and more thankful I did it. I took pictures of mine.Wish you well regardless what you decide.

  2. Fernanda Galvez Avatar
    Fernanda Galvez

    Instead of a colonic you can simply do a water or coffee enema. Another alternative is taking a oxygenating cleanser like Colosan the night before. Honestly in my opinion an enema is the most effective and easiest thing to do. Use filtered water heated to a couple degrees above body temp, about 100F.

    1. Carol A Avatar

      Fernanda, agree with you! I also, after getting enemas for years, believe the enema is the most effective and easiest.
      Growing up enemas were common in our home. And given often. Seemed like my aunt (nurse in the 60s) believed in giving one for most anything.
      While I wasn’t overly happy knowing was going to get one from her when younger, I now know getting the enema was far better than pills, harsh laxatives, castor oil .

      Thanks for telling to use filtered water heated a few degrees above body temp.

      Many these days have no knowledge of enemas. I try to teach as many as I can about the benefits of the enema.

      At times I think the plain water is easier to prepare than the coffee enema.

      A few weeks ago I assisted,, thought the enema to a neighbor. Her 10 yo b was constipated. She told me giving him a laxative before caused cramping.

      He took the enema very well. Given with the bulb syringe.

      Check with your doctor before giving an enema.


    2. Dee Dee Avatar

      Fernanda, hope many read your comments!
      I agree with you. Giving an enema is “the most effective and easiest thing to do.”

      Exact words I’ve told many moms over the years.

      Carol A, believe you meant to say “taught.” Instead of “thought.”
      Hope you didn’t mind me telling this.

      As a home nurse, doing part time work for a local naturopathic doctor (guess they are still around – – unless big pharma ran all of them out by now ), I gave many enemas in the home.

      Many times the mom didn’t know the child was constipated.

      I also taught moms to prepare and give enemas.

      As far a liver detoxification, read what Mama has on this article.

      The coffee enema is a great for detoxing the liver.

  3. Rissa Avatar

    My fiance and I no longer have our gallbladders. Can we still do this cleanse and it have a cleansing effect on our livers?

  4. sally Avatar

    porridge oats using water do not add any oil/fat (milk) or sugar. porridge oats give you long acting carbs which you need after having fasted through a long time. It is also gentle on your digestive system.

  5. jay Avatar

    Can you do this cleanse while lactating? I have a 6 month old and recently started having gall bladder attacks.

  6. John Avatar

    im in hell and have been drinking apple juice for only 3 days and i’m gong for it i cant take it anymore, i dont have health care till monday and i cant go thru another week of work like this. wish me luck. no gallbladder either, should be fun. i’m not wasting my money at the ER or Urgent Care. i’m sure i have a few sitting in my ducts right now, no matter what i eat i hurt.

    1. Dawn Avatar

      Malic acid is the main chemical in apples that is responsible for busting up the gallstones. One can find malic acid easily from wine making supply stores. Best of luck ?

  7. adam Avatar

    what if i cant sleep? i have insomnia. i always have anxiety and tense when doing something ‘weird’ to my body for the first time. im really scared. but im soo wanting to heal. and from my experience, none of these sleeping pills can help me, melatonin, gaba, htp, valerian, etc.

  8. mel Avatar

    I’ve been having alot of problems with my stomach,I’m getting ready to do a cleanse,wish me luck i need this to work so bad the pain in my side is so bad at times its almost unbearable and they keep telling me nothing is wrong. Well I’m here to tell ya I’m the one feeling the pain and other things as well so something is wrong with my stomach! So I’m so glad I came acrossed your web site,I am so thankful to know that there is something I can do myself and the cleanse I feel is just the thing I need so thank you wellness mama,I’m grateful, mel

    1. Lynn Avatar

      I did an effective gallbladder flush. HAVE ULTRASOUND 1ST TO DETERMINE IF FLUSH IS SAFE (size of the stones matters!) I had bilary sludge/ small stones that caused Pain & nausea. For 5 days, I ate only fruits & vegetables plus apple juice. On the 6th day, I had olive oil & lemon juice with a heating pad on right side… layed on my right side. When bowels ran clear, I heard what sounded like 2 coins falling into the bowl. I was so nauseous that I flushed the toilet & didn’t think to look at what came out. The next ultrasound was clear. The surgeon said keep doing what you’re doing. My naturopath said NO EPSOLM SALTS in the flush (Bad for kidneys) I avoided surgery. Flushes are listed all over the internet. There also good gallbladder formulas by Dr
      Christopher & Nature’s Sunshine for prevention & treatment. Having a naturopath gives you comfort that yes, these things can work. But again, ultrasound 1st. Pass it on.

  9. Christine Avatar

    Jenefe I have been doing liver cleanses for well over twenty years and EVERY time they have only improved my health and eliminated stones that were verified by ultrasound. AND I had a doctor tell me not to do it (the first time I asked about trying it) because he said I would get a stone lodged in a bile duct and I could die. If you understand the procedure and follow it, it is designed to lubricate and open the ducts to allow stones and sludge to cleanse out, allowing the body to heal. Having had a few gal bladder attacks (before I ever did the cleanse) that sent me to the ER I know that pain, yet with each and every cleanse I never had even a twinge of pain. Just needed to share that.

  10. Julie Avatar

    Unfortunately, I did not discover that my gall bladder issue was probably related to my consumption of grains until many years after its removal. Are there any supplements or particular foods that I should be avoiding due to my not having my gall bladder? As always, thank you for your suggestions, Katie! This website has provided me with a ton of helpful information.

  11. Jackie Faulhaber Avatar
    Jackie Faulhaber

    I have my gallbladder and appendix removed many years ago. Can I still do this cleanse?

  12. Emily P Avatar
    Emily P

    Knowing what you do now about Hashimoto’s, would you still do something like this? I have Hashi’s and am wondering if it would be okay to try. I will ask my doctor first of course.

  13. Delphina Avatar

    I would like to share something that a co-worker of mine shared with me when I first began working with her. I have one huge gall stone I had it confirmed by an ultrasound and was told over 6 years ago that if I didn’t remove it I would die from it. I was telling my friend about my health issue and she gave me this recipe to cleanse my gall bladder out:

    1 fresh squeezed Orange or 2 fresh squeezed Lemons
    2 Garlic cloves sliced up or minced (you can get the garlic cloves that are already minced up for you at your local grocery store)
    1 TBSP of Extra Virgin Olive Oil (it has to be extra virgin olive oil)

    You have to drink this on an empty stomach every morning that you wake for at least 2 weeks, longer if you are experiencing some pain in your side from gall stones.

    After I did this for the two weeks and stayed away from fast food, greasy fried foods as well as dairy I was symptom free and never had to have my gall bladder removed. I am considering seeing my doctor to see if the gall stone is still there but I hate the doctors and feel that if I have no pain no worries. I still go out and eat fast food and when I think I have even the slightest pain in my side I always use this recipe and the pain always goes away.

    I was told by father that my grandmother had the same problem and she did a morning regimen of 1 glass of grapefruit juice for a year and she went back to the doctor and they said that her gall stones were gone.

    Here is another tip I learned along the way……I read that cancer cannot live in an alkalized body and that if you have 1 tsp. of baking soda added to an 8 oz glass of water and drink this a half hour before your first meal of the day your on your way to having a healthy balance in your body. It worked for my daughter who always complained of side pain on both sides of her body and she always seems to get UTI’s after doing this for a week all of her pain went away and since then she has never had another out break.

    1. Lisa Avatar

      I would be careful about drinking baking soda in water every day before meals because it will neutralize stomach acid. Stomach acid is vital for digesting food, getting rid of bacteria and parasites, and activating other digestive enzymes. Lemon juice would be a better choice as it will not neutralize stomach acid like baking soda will, but has an alkalizing effect on the body.

      1. Morgan Avatar

        Baking soda can affect the acidity in digestion, but 30 min before a meal should be fine for a liquid to pass out of the stomach and not affect the meal. Also, the bicarbonate in baking soda is an essential electrolyte that the kidneys use to do their filtering. It’s very effective for UTIs.

    2. Micky Gon Avatar
      Micky Gon

      Even if you had insurance, why would you remove your gall bladder

      1. sara Avatar

        so what do we need to change, if we dont have a gall said protocal needs to change?

      1. Kris Avatar

        Because that would be against the medical license they practice under. This is alternative medicine. So they don’t want to be liable.

    1. Tee Avatar

      Never heard of rice stones BUT I have heard of parasites looking like rice when they come out.

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