Abstract
In a hypothetical case, a 35-year-old female presents to the pharmacy for a refill of her prescription oral contraceptive. She also asks about taking milk thistle. She states that several members of her “liver disease support group” are using the herbal supplement. She has recently been diagnosed with chronic hepatitis C and is currently receiving interferon alfa-2b and ribivarin. Her past history is significant for illegal drug and alcohol abuse in her early twenties.

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