Hypothyroid with fatty liver, will orlistat help?what about silymarin?

Liver and thyroid: Fatty liver is common with obesity/metabolic syndrome. Best treatment: weight loss, any way you can get it. I am not a fan of orlistat. Have you read about the side effects? Most people don't take more than a few doses. I doubt milk thistle (silymarin) will help, but it is harmless. If you are hypothyroid, you need to be on levothyroxine replacement.