How do you pragmatically approach a conversation about "liver detox"/"liver cleansers" when patients bring up this topic?

It's important to keep an open mind with the use of these products, as often people will want to take them despite what you might say. Having some experience with the use of these products (or at least their ingredients) will give the patient a comfort level with freely discussing their use with you...

The first step would be to find out why the patient feels they need this and fully explore those concerns. Patients often have a sense of their own health status even without a specific diagnosis, and much can be discovered. Or they have been frightened by media consumption and require careful reass...