Meat & Protein · Organ Meats

Beef Liver: Benefits, Nutrition, How Much to Eat & Pregnancy

What beef liver is, what a 3-ounce serving gives you, what the research shows for your blood, methylation and pregnancy, how much to eat each week, how to make it taste good, desiccated liver capsules and who should be careful.

Meet the Medical Advisory Board
Evidence-based62 sources citedUpdated October 15, 2026
Published Oct 8, 2026Last updated Oct 15, 2026Editorial policyMedical review policyFact-checking policy
Slices of raw beef liver piled on a bamboo cutting board, topped with a sprig of fresh parsley
Raw beef liver, sliced and ready to cook.
The Dr. Axe Score™
7.0/10
Overall Dr. Axe Score · Beef Liver

Beef liver scores 7.0 on the strength of its nutrient density, a century of human research on liver foods and the practical value of one small serving a week.

Scientific Evidence
5.8/10
Human studies of liver foods, from a 1926 case series to a 90-day trial in children, plus deep nutrient research.
Antioxidant & Anti-Inflammatory
5.6/10
Selenium, zinc, copper and riboflavin feed the body's own antioxidant enzymes; little vitamin C or E.
Clinical Effectiveness
8.0/10
Our judgment: one weekly serving covers a full week's B12, copper and vitamin A, with long traditional use behind it.
Nutrient Density
9.2/10
Rated against other organ meats: one 149-calorie, 3-ounce serving tops the daily value for five nutrients; chicken liver has more folate, iron and selenium, and beef liver has almost no fiber, vitamin C or calcium.
Why this score?
Why Beef Liver scores 7.0 / 10

    Weighting: Evidence 30% · Antioxidant & Anti-Inflammatory 25% · Clinical Effectiveness 25% · Nutrient Density 20% (5.8×0.30 + 5.6×0.25 + 8.0×0.25 + 9.2×0.20 = 1.74 + 1.40 + 2.00 + 1.84 = 6.98, shown as 7.0). How we score

    A transparent, weighted index built for foods. See how it’s calculated →

    Interaction check: Moderate. Oral retinoids such as isotretinoin for acne: the drug's label advises against vitamin supplements containing vitamin A because their toxic effects add up.48 Liver and desiccated liver capsules supply the same preformed vitamin A, so skip them while you take the drug unless your prescriber says otherwise. Vitamin A, copper or iron supplements: liver adds to what they supply, so count it toward your totals.

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    Beef liver at a glance

    Beef liver is one of the most nutrient-dense foods you can eat: one 3-ounce serving gives you more than a full day's vitamin B12, vitamin A, riboflavin and copper; eaten once a week, it covers your whole week's B12 about four times over, your copper about twice and your vitamin A for the week.12

    • Per serving: 3 ounces, pan-fried, gives you 2,944% of the daily value for B12, 731% for vitamin A and 65% for choline, for 149 calories
    • Blood: a liver-rich diet raised red-cell counts in a 1926 case series of 45 patients with pernicious anemia, and in a 90-day randomized trial, meatballs of chicken liver and beef cut the number of anemic children from 22 of 30 to 234
    • How much: about 3 ounces once a week, or capsules if you don't like the taste; if your bloodwork shows vitamin A running high, cut back
    • Who should be careful: pregnancy, Wilson's disease, hemochromatosis and gout, each covered below

    The free 25 Root-Cause Bloodwork Markers guide shows how to check the iron, B12 and methylation markers liver feeds.

    Beef liver is the liver of cattle. In the animal, the liver stores vitamins and minerals for the rest of the body,56 which is why a few ounces of this organ meat carry more nutrition than almost anything else you can put on a plate. Beef liver is on our list of the most nutrient-dense foods for its high amounts of iron, vitamin A and B12.1

    On my show, I've described liver as nature's multivitamin.7 I count organ meats among my desert island foods, part of the nose-to-tail tradition of using every part of the animal.8 Yet most of us have stopped eating organ meats the way our ancestors did, even though they're as critical to the body as muscle meat or bone broth.9

    You don't need much of it, and if the taste isn't for you, there are easy ways around it.

    Vitamin B12 shows how concentrated it is: beef liver has about fifty times more B12 than steak.8

    Folate is the other standout. Of the foods I compare on this page, beef liver is #2 in folate, behind only chicken liver: per 100 grams, pan-fried beef liver has 260 mcg, against 578 mcg in chicken liver, 194 mcg in raw spinach and 181 mcg in cooked lentils, two foods known for their folate.2165758

    Get the free 25 Root-Cause Bloodwork Markers guide

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    • The root causes behind a high or low result, and the actions to take
    • Ferritin, MMA (your true B12 status), homocysteine and the copper-to-zinc ratio, the markers this page comes back to

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    Did you know?

    • Some cultures consider liver too sacred for human hands to touch, so it's handled only with a spear or another instrument.8

    • More than 80% of the vitamin A in a liver sits in one type of cell, the hepatic stellate cells, which store it for the rest of the body.6

    • Only 10.8% of Americans aged 2 and older get the adequate intake of choline, according to national survey data from 2009 to 2012.10

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    What is beef liver?

    Quick answer

    Beef liver is the liver of cattle, an organ meat (offal) valued for how many vitamins and minerals it packs into a small serving. Three ounces, pan-fried, has 149 calories and 22.5 grams of protein, plus more than a full day's vitamin B12, vitamin A, riboflavin and copper.211

    Fresh beef liver is smooth, dense and deep reddish brown, with a rich, mineral flavor that some people find strong. Besides storing nutrients, the liver filters the blood and processes what the animal eats.5 You'll find it sliced fresh or frozen at butcher shops and farmers markets, ground into blends with beef, and dried into powder for desiccated liver capsules.

    Beef liver is one of several organ meats, along with heart and kidney. In Heal Your Cells, Dr. Will Cole and I call organ meats like liver, heart and kidney nutritional goldmines that deliver peptides, cofactors and micronutrients like B12, zinc and choline.12 Our guide to offal covers the others, and is liver good for you? compares liver from different animals.

    A short history of liver as food and medicine

    Organ meats hold a long place in traditional medicine. Organs have been valued in traditional Chinese medicine for more than three thousand years, on the traditional principle, not yet tested in modern studies, that eating an animal's organ benefits the same organ in your own body.8

    Liver also made medical history. In 1926, George Minot and William Murphy reported on 45 patients with pernicious anemia, an autoimmune condition that leaves the body short of vitamin B12,13 who ate a special diet built around 120 to 240 grams (about 4 to 8 ounces) of cooked calf's or beef liver a day.3 Their average red-cell count rose from 1.47 million per cubic millimeter before the diet to 3.40 million after about 1 month, 4.16 million at about 2 months and 4.50 million at 4 to 6 months; the later averages cover 37 and then 27 patients, because the rest had started the diet more recently. Within the first week, young red cells called reticulocytes jumped from about 1% to around 8% of all red cells in each of the 15 patients tracked daily. The study had no comparison group, and the authors described a "prompt, rapid and distinct remission" in every patient.3

    Red blood cells climbed on a liver-rich diet

    Red blood cells climbed on a liver-rich diet45 patients with pernicious anemia · 120 to 240 g of cooked liver a day · 1926. Before the diet: Average red-cell count 1.47 million per mm³; About 1 month: Average red-cell count 3.4 million per mm³; About 2 months: Average red-cell count 4.16 million per mm³; 4 to 6 months: Average red-cell count 4.5 million per mm³45 patients with pernicious anemia · 120 to 240 g of cookedliver a day · 19261.473.44.164.5Average red-cell count (million per mm³)Before thedietAbout 1 monthAbout 2 months4 to 6 months
    Source: Minot & Murphy · JAMA, 1926 (reprinted in Yale J Biol Med, 2001) [3]Average red blood cell count, in millions per cubic millimeter, from the study's Table 1. All 45 patients are counted before the diet and at about 1 month, 37 at about 2 months and 27 at 4 to 6 months.

    Beef liver nutrition facts

    Quick answer

    A 3-ounce serving of pan-fried beef liver has 149 calories, 22.5 grams of protein and about 4 grams of fat, with 2,944% of the daily value for vitamin B12, 1,378% for copper, 731% for vitamin A and 224% for riboflavin. It also supplies 65% of the daily value for choline, 55% for folate, 51% for selenium, 40% for zinc and 29% for iron.211

    Beef liver, pan-fried, per 3-ounce (85 g) serving and per 100 g. Source: USDA FoodData Central, FDC ID 168627; per-serving values calculated from the per-100-gram values; % Daily Value uses FDA reference values.211

    Nutrient3 oz (85 g)% Daily ValuePer 100 g

    Calories

    149

    n/a

    175

    Protein

    22.5 g

    45%

    26.5 g

    Total fat

    3.98 g

    5%

    4.68 g

    Carbohydrate

    4.39 g

    2%

    5.16 g

    Cholesterol

    324 mg

    108%

    381 mg

    Vitamin B12

    70.7 mcg

    2,944%

    83.1 mcg

    Copper

    12.4 mg

    1,378%

    14.6 mg

    Vitamin A (RAE)

    6,582 mcg

    731%

    7,744 mcg

    Riboflavin (B2)

    2.91 mg

    224%

    3.42 mg

    Pantothenic acid (B5)

    5.90 mg

    118%

    6.94 mg

    Niacin (B3)

    14.9 mg

    93%

    17.5 mg

    Choline

    355 mg

    65%

    418 mg

    Folate (DFE)

    221 mcg

    55%

    260 mcg

    Vitamin B6

    0.87 mg

    51%

    1.03 mg

    Selenium

    27.9 mcg

    51%

    32.8 mcg

    Zinc

    4.45 mg

    40%

    5.23 mg

    Phosphorus

    412 mg

    33%

    485 mg

    Iron

    5.24 mg

    29%

    6.17 mg

    Vitamin D

    1.0 mcg

    5%

    1.2 mcg

    One serving gives you more than a day's worth of five nutrients at once: B12, copper, vitamin A, riboflavin and pantothenic acid. That's why the amount matters more with liver than with almost any other food. The how-much section below sets it.

    Cooking changes the numbers. Per 100 grams, USDA lists braised beef liver at 9,440 mcg of vitamin A and 70.6 mcg of B12, against 7,744 mcg and 83.1 mcg for pan-fried, and raw liver at 4,970 mcg and 59.3 mcg, partly because raw liver still holds its water, 70.8 grams per 100.14152 If a label lists vitamin A in international units, 7,744 mcg RAE is about 26,100 IU.2

    How does beef liver compare with chicken liver, steak and kale?

    Per 100 grams: the meats cooked, the kale raw. Source: USDA FoodData Central, SR Legacy; cooking methods differ by record, as named.2161759

    Per 100 gBeef liver, pan-friedChicken liver, simmeredFlank steak, broiledKale, raw
    Vitamin B1283.1 mcg16.8 mcg1.63 mcg0 mcg
    Vitamin A (RAE)7,744 mcg3,980 mcg0 mcg241 mcg
    Copper14.6 mg0.496 mg0.082 mg0.053 mg
    Riboflavin3.42 mg1.99 mg0.133 mg0.347 mg
    Choline418 mg290 mg105 mg0.5 mg
    Iron6.17 mg11.6 mg1.74 mg1.60 mg
    Folate (DFE)260 mcg578 mcg9 mcg62 mcg
    Selenium32.8 mcg82.4 mcg29.4 mcg0.9 mcg
    Vitamin C0.7 mg27.9 mg0 mg93.4 mg
    Vitamin K (K1)3.9 mcg0 mcg1.4 mcg390 mcg
    Calcium6 mg11 mg20 mg254 mg

    Gram for gram, pan-fried beef liver has about 51 times the B12 of broiled flank steak and about 49 times that of broiled top sirloin, which lists 1.71 mcg per 100 grams.1718 That's the roughly 50-fold gap mentioned above. Chicken liver brings more iron, folate and selenium, with less vitamin A and copper, so both livers earn a place in your week; our chicken liver pâté is an easy way to start.16

    I've written that liver surpasses even kale in vitamins and minerals, and kale, also on our list of the most nutrient-dense foods, shows where a top vegetable wins and where liver does.81 Gram for gram, raw kale has far more vitamin C (93.4 mg against 0.7 mg), vitamin K (390 mcg against 3.9 mcg) and calcium (254 mg against 6 mg). Pan-fried beef liver has 83.1 mcg of B12 where kale has none, about 32 times the vitamin A, 275 times the copper, nearly 10 times the riboflavin and about 4 times the folate and iron.259 Kale is about 90% water, which makes it light on calories, so the two do different jobs, and both belong in your week.59

    Beef liver has about 50 times the vitamin B12 of steak

    Beef liver has about 50 times the vitamin B12 of steakUSDA FoodData Central · per 100 g, cooked. Beef liver, pan-fried: 83.1 mcg B12 per 100 g; Chicken liver, simmered: 16.8 mcg B12 per 100 g; Top sirloin steak, broiled: 1.71 mcg B12 per 100 g; Flank steak, broiled: 1.63 mcg B12 per 100 gUSDA FoodData Central · per 100 g, cookedBeef liver,pan-fried83.1 mcg B12 per 100 gChicken liver,simmered16.8 mcg B12 per 100 gTop sirloinsteak, broiled1.71 mcg B12 per 100 gFlank steak,broiled1.63 mcg B12 per 100 g
    Source: USDA FoodData Central, SR Legacy · FDC 168627, 171061, 168634, 168733 [2]Vitamin B12 per 100 grams of each cooked food, from USDA's records for each one. Cooking methods differ by record, as named.

    What is beef liver good for?

    Quick answer

    Beef liver supplies the nutrients your blood, your methylation and a growing baby depend on: vitamin B12, folate, riboflavin, choline, vitamin A, copper and iron. A liver-rich diet raised red-cell counts in a 1926 case series of 45 patients with pernicious anemia, and in a 90-day randomized trial of 60 children, meatballs made with chicken liver and beef cut the number with anemia from 22 to 2, while it barely changed without them.34

    Where the research stands

    The main human studies of liver as a food are a 1926 case series of 45 patients and a 90-day randomized trial of chicken-liver-and-beef meatballs in 60 children; no modern trial has yet fed people beef liver itself and tracked a health outcome.34 The research on the nutrients liver supplies, from B12 and folate to riboflavin and choline, runs much deeper, and every result below names the product studied.

    What beef liver is good for, with the evidence behind each use (October 2026). The grades are our editorial judgments, comparing these uses with one another, not formal certainty ratings.
    UseEvidenceProduct studiedWhat the research shows

    Red blood cells and anemia

    Moderate

    Liver-rich diet (calf's or beef liver, 1926); meatballs of chicken liver and beef

    Red-cell counts about tripled on the 1926 liver diet; far fewer children were anemic after 90 days of the meatballs34

    Vitamin B12, vitamin A, riboflavin and copper

    Strong, for content

    Beef liver, pan-fried

    One 3-oz serving gives more than the daily value of each, from 224% for riboflavin to 2,944% for B122

    Methylation and homocysteine

    Emerging

    B12, folate, riboflavin and choline; a riboflavin supplement

    Each nutrient runs a step of homocysteine recycling; a riboflavin supplement lowered systolic blood pressure in adults with the MTHFR 677TT gene variant192021

    Choline in pregnancy

    Emerging

    Choline, 930 vs. 480 mg a day (controlled feeding)

    Babies processed information faster when their mothers got 930 mg22

    Energy and detoxification

    Emerging

    B vitamins and iron, the nutrients liver supplies

    B vitamins and iron run your cells' energy production, and B12, B6 and folate are cofactors for methylation, one of the liver's detoxification pathways; no trial has yet measured energy or detoxification after eating liver6061

    Nose-to-tail nourishment

    Traditional

    Organ meats

    Valued in traditional Chinese medicine for more than three thousand years; the Maasai tribe of eastern Africa reserves organs such as the heart or kidney for young male warriors and pregnant women8

    How does beef liver work in your body?

    On my show, I've said organ meats are the most powerful foods for supporting methylation in your body, and liver shows why.9 Methylation is the chemistry your cells use to hand small carbon groups, called methyl groups, from one molecule to another, and it runs on vitamin B12, folate, riboflavin and choline, all of which liver supplies.1920 The steps below are the established biochemistry of each nutrient; a liver meal's effect on methylation hasn't been measured directly.

    1Liver delivers the raw materials

    One 3-ounce serving of pan-fried beef liver supplies 70.7 mcg of vitamin B12, 221 mcg of folate, 2.91 mg of riboflavin and 355 mg of choline.2

    2Riboflavin powers MTHFR

    In its active form, FAD, riboflavin is the helper that MTHFR needs, the enzyme that makes the active form of folate. More than 10% of people in the UK and Ireland, and up to 32% in some other populations, carry two copies of a slower version of the gene, called 677T.23

    3B12 and folate recycle homocysteine

    An enzyme called methionine synthase uses B12 and active folate to turn homocysteine back into methionine, an essential amino acid.19

    4Choline opens a second route

    Liver cells turn choline into betaine, which hands a methyl group to homocysteine and makes methionine by another path.20

    5Methionine becomes SAMe

    Methionine becomes S-adenosylmethionine (SAMe), the body's most important methyl donor, which supplies methyl groups to reactions throughout your cells.1920

    The riboflavin step shows up in research on people. In a placebo-controlled trial of 91 adults with treated high blood pressure and two copies of the MTHFR 677T variant, a riboflavin supplement of 1.6 mg a day for 16 weeks lowered systolic blood pressure 5.6 mmHg more than placebo.21 A 2025 Cochrane review of 4 trials in 374 people found diastolic pressure 3.03 mmHg lower with riboflavin (2 trials, 271 people); the 1.94 mmHg drop in systolic pressure (3 trials, 320 people) was too small to rule out chance, and the reviewers rated the evidence very low certainty.24

    My bloodwork protocol reads homocysteine as the functional methylation readout, with a target under 7 µmol/L, and it lists MTHFR variants and low folate, B12, B6, choline and betaine among the root causes of a high number.13

    Beef liver benefits, ranked by evidence

    Ranked by the evidence, beef liver's benefits start with red blood cells and iron, then vitamin B12, methylation, choline and energy and detoxification.

    1

    Red blood cells and iron

    Moderate evidenceHuman studyCase series · 45 patients (1926); randomized trial · 60 children

    A liver-rich diet sent red-cell counts climbing in a 1926 case series of 45 patients with pernicious anemia, the study in the history above.3 In a 90-day randomized trial, meatballs made with chicken liver and beef left far fewer children anemic than no supplement did.4 The iron section has the details and the steps to take.

    Study takeaway: liver foods raised red-cell counts in 1926 and left far fewer children anemic in a 90-day trial.

    2

    Vitamin B12 in abundance

    Strong evidence, for contentHuman studyUSDA composition · review of human B12 absorption

    A 3-ounce serving gives you 2,944% of the daily value for vitamin B12, the vitamin your body needs to make healthy red blood cells and to recycle homocysteine.21319 Your gut can absorb only about 1.5 to 2.0 mcg of B12 at a time through its main pathway, so a single serving covers what you can take in at one meal many times over.25 If your B12 is in question, test it: my bloodwork protocol uses MMA, which reflects B12 inside your cells, with a target under 270 nmol/L.13 See our guide to B12 deficiency symptoms and the top vitamin B12 foods.

    Study takeaway: a 3-ounce serving gives you 2,944% of the daily value for vitamin B12.

    3

    Methylation support

    Emerging evidenceHuman studyBiochemistry reviews · RCT of 91 adults (riboflavin supplement)

    Liver supplies every nutrient in the homocysteine recycling chain: B12, folate, riboflavin and choline.219 Riboflavin alone, as a 1.6 mg daily supplement, lowered systolic blood pressure 5.6 mmHg more than placebo in a 16-week placebo-controlled trial of 91 adults with the MTHFR 677TT variant.21 The how it works section walks through each step.

    Study takeaway: liver supplies each nutrient the body uses to recycle homocysteine.

    4

    Choline for your brain and cells

    Emerging evidenceHuman studyRCT · 26 pregnant women; national intake survey

    On my show, I've called beef liver, or any type of liver, the number one source of choline.26 Your body uses choline to make acetylcholine, a messenger in your nervous system, and the phospholipids in your cell membranes, and liver cells turn it into betaine for methylation.2720 A 3-ounce serving supplies 65% of the daily value, and most Americans fall short of the adequate intake.1110 The pregnancy section below covers a choline trial in expecting mothers.

    Study takeaway: a 3-ounce serving supplies 65% of the daily value for choline.

    5

    Energy and detoxification support

    Emerging evidenceHuman studyBiochemistry reviews · USDA composition

    Beef liver can support detoxification and energy because it's one of the richest foods in B vitamins and iron, which your body uses to produce energy. Gram for gram, among the roughly 6,500 to 7,700 foods with values in USDA's main reference database, pan-fried beef liver ranks in the top 1% for vitamin B12 and riboflavin, the top 2% for niacin, the top 4% for B6 and folate and the top 7% for iron.62 Every B vitamin except folate runs at least one step of your cells' energy production, the final step in your mitochondria that makes ATP needs riboflavin, niacin, pantothenic acid and iron, and iron, B6, folate and B12 are what your blood needs to carry oxygen.61 On the detox side, methylation is one of the liver's phase II detoxification pathways, used to clear compounds such as estrogen, and a review of those pathways lists B12, B6 and folate among the cofactors it runs on, with liver among the richest sources of B12.60 No trial has yet measured energy or detoxification after people ate liver. If you're always tired, test before you assume: MMA and ferritin show whether B12 or iron is the gap.13

    Study takeaway: liver is one of the richest foods in the B vitamins and iron your cells use to make energy and run detoxification.

    Liver is one of the most nutrient-dense foods available. It's exceptionally high in vitamin A and B vitamins, especially B12 and folate, it's rich in iron, and it contains compounds that help detoxify the body, increase energy and combat fatigue.Dr. Josh Axe, DC, DNM, CNSFrom The Biblio Diet (2025), ebook p. 85

    Three markers for the nutrients liver supplies

    These markers show where your iron, B12 and methylation stand, and they give you a baseline before liver becomes a weekly habit. Targets are Dr. Axe's functional ranges. Go over your results with your practitioner.

    • Ferritin: Your stored iron. The optimal range is 50 to 150 ng/mL for women and 75 to 150 ng/mL for men.13
    • MMA (methylmalonic acid): Your B12 status inside your cells. Dr. Axe's target is under 270 nmol/L.13
    • Homocysteine: The methylation readout. Dr. Axe's target is under 7 µmol/L.13

    See the cellular bloodwork panel

    Have results? Analyze them free →

    Is beef liver good for anemia and low iron?

    Quick answer

    Yes. Organ meats, and especially liver, are my number one food for building back iron levels, because they bring heme iron, the form your body absorbs best, along with the copper, zinc and folate that help build your blood.28 In a 90-day randomized trial of 60 children, meatballs made with chicken liver and beef cut the number with anemia from 22 to 2.4

    I describe organ meats as protective against anemia, and liver feeds your blood from several directions at once.8 It brings heme iron, the type your body absorbs best, along with B12, folate and copper, the nutrients red-cell production depends on.28 Your body also absorbs more iron from mixed diets (an estimated 14% to 18%) than from vegetarian diets (5% to 12%), in figures calculated for people with no iron stores.29 Our guides to iron deficiency and anemia symptoms cover the signs to watch for.

    A modern trial in Egypt tested liver as an everyday food for children. Researchers randomly assigned 60 children aged 3 to 9 from a kindergarten and a primary school, most of them with mild or moderate anemia, either to eat fried meatballs made from chicken liver and beef three times a week for 90 days (one meatball for the younger children, two for the older ones) or to continue their usual diet with no supplement. In the meatball group, the number of children with anemia fell from 22 of 30 to 2 of 30, while the control group went from 24 of 30 to 23. Hemoglobin rose from 11.6 to 12.9 g/dL in the younger children who ate the meatballs and from 11.66 to 12.8 g/dL in the older ones, and barely moved in the control group.4 The meatballs combined chicken liver with beef, so the result belongs to that recipe rather than to beef liver alone.

    Liver meatballs: 2 of 30 children anemic after 90 days, against 23 of 30

    Liver meatballs: 2 of 30 children anemic after 90 days, against 23 of 3060 Egyptian children aged 3 to 9 · randomized · 90 days. Liver meatballs, 3 times a week: 2 children with anemia; No supplement: 23 children with anemia60 Egyptian children aged 3 to 9 · randomized · 90 days
    2 children with anemia
    LIVER MEATBALLS, 3 TIMES A WEEK
    23 children with anemia
    NO SUPPLEMENT
    Source: Bassouni et al. · Public Health Nutrition, 2022 [4]Children with anemia at day 90, out of 30 in each group. At the start, 22 in the meatball group and 24 in the control group had anemia.

    Iron from plant foods absorbs better with vitamin C,28 and for low ferritin, my bloodwork protocol lists red meat, liver and sardines alongside vitamin C foods.13 Test before you lean on liver to fix a problem: ask your doctor for ferritin and a full iron panel (iron, TIBC and percent saturation), which show whether low iron is the issue and also catch the opposite, iron overload, covered in the safety section.13

    Is beef liver safe during pregnancy?

    Quick answer

    Liver supplies the choline, B12, folate and iron that pregnancy calls for, but a 3-ounce serving also carries 6,582 mcg of vitamin A, more than twice the 3,000 mcg daily upper limit that applies in pregnancy.230 Very high preformed vitamin A intake can be a problem, especially in pregnancy, so if you're pregnant or planning to be, check with your OB before you eat liver or take liver capsules.30

    Support for a healthy pregnancy is on my list of the benefits of organ meats, and the Maasai tribe of eastern Africa reserves organs such as the heart or kidney for young male warriors and pregnant women.8

    Choline is liver's standout for pregnancy. The adequate intake rises to 450 mg a day in pregnancy, and a 3-ounce serving supplies 355 mg.272 Pregnant women's average intakes fall far below that mark.20 In a controlled feeding study, 26 women entering their third trimester ate either 930 or 480 mg of choline a day (13 in each group) while neither the women nor the researchers knew who got what; among the 24 babies tested, those whose mothers got 930 mg processed information faster in tests from 4 to 13 months of age, in a study partly funded by egg and beef industry groups.22 The same serving adds B12, folate and iron. See our pregnancy diet and prenatal vitamins guides for the rest of the plate.

    Vitamin A is the reason for the caution: very high preformed vitamin A intake can be a problem, especially in pregnancy.30 Here's how one serving compares with the daily upper limits that apply in pregnancy:

    NutrientOne 3-oz serving, pan-friedDaily upper limit in pregnancy
    Vitamin A (RAE)6,582 mcg3,000 mcg (2,800 mcg at ages 14 to 18)
    Copper12.4 mg10 mg (8 mg at ages 14 to 18)
    Vitamin B1270.7 mcgNone set

    Sources: USDA FoodData Central, FDC ID 168627; Institute of Medicine upper limits for vitamin A, copper and vitamin B12.2303132

    The research on vitamin A in pregnancy points in more than one direction. In a study that followed 22,748 pregnant women, the rate of certain birth defects rose when women took more than about 10,000 IU (3,000 mcg) a day of preformed vitamin A from supplements, with the extra risk concentrated in the first 7 weeks.3330 Two other studies found no rise in major malformations at those intakes: one followed 423 pregnancies exposed to 10,000 IU or more a day in the first 9 weeks, with 311 babies checked, and the other compared 1,508 women.3435

    Food-safety agencies take a cautious line here: the European Food Safety Authority advises women who are planning a pregnancy or are pregnant not to eat liver products, and the UK's National Health Service lists liver among the foods to avoid in pregnancy.3637

    If you're pregnant or planning to be, bring the numbers above to your OB before you eat liver, and since desiccated liver capsules are a concentrate, confirm the dose with your OB.

    How much beef liver should you eat?

    Quick answer

    About 3 ounces of beef liver once a week is fine for most people, and it's my recommendation, because liver is so concentrated that a small weekly portion is plenty.262 The exception is your bloodwork: if it shows your vitamin A running high, cut back and work with your practitioner.

    My choline prescription puts it in context: 2 pastured eggs a day, or 2 eggs 2 to 3 days a week, and then 3 ounces of beef liver once a week, because liver is so high in choline.26 Liver's vitamin A sets the ceiling, so here's what those amounts add up to:

    How muchVitamin A (RAE) per weekAveraged per day
    3 oz once a week6,582 mcgAbout 940 mcg
    4 oz once a week8,782 mcgAbout 1,250 mcg

    Pan-fried beef liver, USDA FoodData Central, FDC ID 168627. The adult upper limit for preformed vitamin A is 3,000 mcg a day from all foods and supplements combined.230

    A single 3-ounce serving holds 6,582 mcg of vitamin A and 12.4 mg of copper, above the daily upper limits of 3,000 mcg and 10 mg, but once a week it averages well under both before you count other foods, which is why liver works best as a weekly food.23031 If you take a multivitamin, cod liver oil or another supplement with vitamin A, count it toward the total. Pregnancy has its own guidance, in the section above.

    Are beef liver capsules as good as fresh liver?

    Quick answer

    Capsules are a good way to get liver if you don't like the taste. On my show, I've put it simply: "If you don't like the taste of organ meats, then you can take them as a tablet or a capsule."9 Choose single-source bovine liver from grass-fed or pasture-raised cattle, from a maker that publishes species and contaminant testing.

    Desiccated liver is liver that's been dried and ground into powder. These days I take liver and glandular supplements regularly.38 Raw beef liver is 70.8% water, so each gram of desiccated liver starts as roughly 3.4 grams of raw liver, an estimate by weight; matching 3 ounces of raw liver would take about 25 grams of powder.15 Check the grams of liver per serving on the label to see how your capsules compare. See our guide to organ and liver supplements for more.

    The one human study of desiccated beef liver tested it as a fortifier in toddlers' meals and measured acceptance rather than a health outcome. In Indonesia, mothers of 96 children aged 12 to 23 months rated foods with added liver powder at neutral or better and said they'd keep using it for its nutritional value.39

    What to look for on the label:

    • Single-source bovine liver from grass-fed or pasture-raised cattle.

    • Published species and contaminant testing. In a DNA study of 53 bovine liver supplements bought online, one also contained pork that wasn't on the label.40

    • A label that follows the rules. In a review of 49 U.S. bovine liver supplement labels, 59% broke at least one federal labeling rule, and 39% gave no U.S. address or phone number for reporting a reaction.41

    • Grams of liver per serving, so you can count it toward your weekly portion.

    Questions about fitting liver into your week?

    Ask Dr. Axe AI. Answers are grounded in this library, with sources shown.

    How to cook beef liver so it tastes good

    I used to sauté chicken liver with garlic, onions and coconut oil and eat it once a week.38 The same treatment works for beef liver: thin slices, a hot pan and plenty of onions. At home, my wife and I buy grass-fed beef blended with liver and heart, so you don't even taste the organs.26

    Liver and onions: sear thin slices in olive oil, coconut oil or a little ghee with onions and garlic, just until cooked through.
    Blend it into ground beef: stir 3 to 4 ounces of finely chopped liver into a pound of grass-fed beef for burgers, meatballs or chili.
    Make a pâté: our chicken liver pâté works with beef liver too.
    Soak it first: some cooks soak liver in A2 milk or canned coconut milk for 30 to 60 minutes to mellow the flavor.
    Add vitamin C: serve it with peppers, greens or a squeeze of lemon, the pairing my bloodwork protocol uses for low iron.13
    Keep it tender: cook it quickly over medium-high heat; long cooking turns liver tough and grainy.

    How to buy and store beef liver

    Choose liver from grass-fed or pasture-raised cattle. In a study comparing cattle raised on pasture with cattle fed grain, pasture-fed animals carried beta-carotene in their tissues, the liver included, while grain-fed cattle had essentially none outside small amounts in the liver.42 Copper varies from herd to herd too: cattle are often given extra copper in their feed,43 and the four samples behind USDA's figure ranged from 7.35 to 19.3 mg of copper per 100 grams.2

    Keep red meat fresh, unprocessed and grass-fed. The WHO's cancer agency classifies processed meat of every kind, processed beef included, as a Group 1 carcinogen, largely on colorectal cancer data, and rates red meat itself Group 2A, probably carcinogenic.4445 As I've said on my show, the studies that link red meat to poor health mostly reflect grain-fed and processed meat, not the fresh, grass-fed red meat I recommend.46

    Liverwurst, braunschweiger and other liver sausages are processed meats, so leave them on the shelf, and check that any store-bought pâté is made from beef or chicken liver, never pork. A homemade pâté gives you the same spreadable texture from fresh liver.

    Calf's liver comes from younger animals and tends to carry less cadmium: in a survey of cattle in Spain, calves' livers averaged 7.78 micrograms of cadmium per kilogram, against 83.3 in older cows.47 Fresh liver is perishable, so keep it cold and cook it soon after you buy it, or freeze it.

    Beef liver side effects and who should be careful

    Quick answer

    Beef liver is a safe food for most people at about 3 ounces once a week; its cautions come from how concentrated it is. Skip it with Wilson's disease or hemochromatosis, keep it small and occasional with gout, and read the pregnancy section before eating it while pregnant.495051

    Because liver is so concentrated, a few situations call for less of it, or none:

    • Too much vitamin A. In a pooled analysis of cohort studies with 319,077 people, higher retinol intake was linked to a 5% lower risk of fractures overall and a 40% higher risk of hip fracture.52 In a 2026 review of 31 published reports of vitamin A toxicity, mostly single case reports, the source in 21 was vitamin A capsules or tablets.53 Keep liver to about 3 ounces once a week and count other vitamin A sources; if your bloodwork shows vitamin A running high, cut back and work with your practitioner.

    • Copper and Wilson's disease. One serving has 12.4 mg of copper, above the 10 mg daily upper limit, which is set to protect the liver from damage.231 Your body absorbs a smaller share of copper as intake rises, but a review of dietary copper in Wilson's disease names liver as one of only two foods that patients on treatment still need to restrict, so with Wilson's disease, skip liver.49

    • Iron overload and hemochromatosis. Your body has no active way to excrete extra iron, and in hemochromatosis the iron-regulating hormone hepcidin runs too low, so iron builds up.2954 My bloodwork protocol routes high ferritin to hemochromatosis testing and therapeutic phlebotomy, and a systematic review estimated, from three small long-term studies, that limiting iron absorption from food could cut the blood that needs removing by 0.5 to 1.5 liters a year.1350 If iron overload runs in your family, test ferritin first; with hemochromatosis, skip liver unless your doctor says otherwise.

    • Gout. Beef liver has 219.8 mg of purines per 100 grams, which a Japanese analysis classes as a large amount; the Japanese gout guidance it cites keeps purines under 400 mg a day.51 With gout, keep liver small and occasional, and see our low-purine diet.

    • Children. Upper limits for preformed vitamin A are 600 mcg a day at ages 1 to 3, 900 at 4 to 8 and 1,700 at 9 to 13, and for copper 1, 3 and 5 mg.3031 One ounce of pan-fried liver has about 2,200 mcg of vitamin A and 4.1 mg of copper, so set your child's amount with their practitioner.2

    The bottom line

    Should you eat beef liver?

    Yes, for most people, at about 3 ounces once a week, unless your bloodwork shows vitamin A running high. Beef liver is one of the most nutrient-dense foods you can eat: a 3-ounce serving gives you more than a full day's B12, vitamin A, riboflavin and copper, and once a week it covers a full week's B12, copper and vitamin A.

    Traditional cultures, from the Maasai to traditional Chinese medicine, have prized organ meats for generations. The nutrient science behind liver is well established, and the human studies of liver foods, from the 1926 liver diet to a modern randomized trial in anemic children, are encouraging.

    Buy it from grass-fed or pasture-raised cattle, cook it with onions or blend it into ground beef, or take capsules if the taste isn't for you. Skip it with Wilson's disease or hemochromatosis, keep it occasional with gout, and if you're pregnant, check with your OB first. A few ounces a week is one of the simplest ways to nourish your blood and give your cells what they need for methylation.

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    Beef liver: frequently asked questions

    Is beef liver good for you?

    Yes. One 3-ounce serving gives you more than the daily value of vitamin B12, vitamin A, riboflavin and copper, plus choline, folate, selenium, zinc and iron, for 149 calories.211 Because it's that concentrated, a small portion once a week is plenty.26

    How much beef liver should you eat a week?

    About 3 ounces once a week; that's my recommendation, and it's fine for most people unless your bloodwork shows vitamin A running high, in which case cut back and work with your practitioner.26 One serving holds 6,582 mcg of vitamin A, but once a week that averages about 940 mcg a day, well under the 3,000 mcg daily upper limit before other foods.230

    Can you eat beef liver every day?

    Not as a full serving: one 3-ounce serving has 6,582 mcg of vitamin A and 12.4 mg of copper, both above their daily upper limits of 3,000 mcg and 10 mg.23031 Eaten once a week, those amounts average out well under the limits, and smaller amounts, such as ground beef blended with liver or liver capsules, count toward the same weekly total.

    Can you eat beef liver while pregnant?

    Liver supplies the choline, B12, folate and iron pregnancy calls for, but one 3-ounce serving holds 6,582 mcg of vitamin A, more than twice the 3,000 mcg daily upper limit that applies in pregnancy, so check with your OB before you eat it.230 The pregnancy section sets out the numbers and the official guidance.

    Are beef liver capsules as good as eating liver?

    They're a good option if you don't like the taste, and on my show I've pointed to tablets and capsules for exactly that.9 Choose single-source bovine liver from a maker that publishes species and contaminant testing, since one of 53 products in a DNA study also contained an animal species that wasn't on the label.40

    Does beef liver have too much vitamin A?

    Not as a weekly portion: one 3-ounce serving has 6,582 mcg, and eaten once a week that averages about 940 mcg a day, well under the 3,000 mcg daily upper limit.230 The totals climb when you eat it daily or stack it with vitamin A supplements, and if your bloodwork shows vitamin A running high, cut back.

    Can beef liver give you too much copper?

    Not as a weekly portion, but one 3-ounce serving has 12.4 mg of copper, above the 10 mg daily upper limit, so it isn't an everyday food.231 With Wilson's disease, skip liver.49

    Is beef liver good for anemia or low ferritin?

    Yes. Organ meats, and especially liver, are my number one food for building back iron, with heme iron plus the copper, zinc and folate your blood needs.28 Test ferritin and a full iron panel first, so you know low iron is the problem.13

    Does beef liver give you energy?

    It can support your energy, because beef liver is one of the richest foods in B vitamins and iron, which your body uses to produce energy: one 3-ounce serving gives you 2,944% of the daily value for vitamin B12 and 29% for iron.21161 If you're tired and B12 or iron may be low, testing MMA and ferritin tells you whether liver is the right fix.13

    Beef liver vs. chicken liver: what's the difference?

    Beef liver has more vitamin B12, vitamin A and copper, and chicken liver has more iron, folate and selenium: per 100 grams cooked, beef liver has 83.1 mcg of B12 against 16.8 mcg in chicken liver, and 6.17 mg of iron against 11.6 mg.216 Both are nourishing, so rotate them if you like.

    Is grass-fed beef liver better?

    Yes. Cattle raised on pasture carry beta-carotene in their liver and other tissues that grain-fed cattle largely lack, and fresh, grass-fed red meat is what I recommend.4246

    Does beef liver store toxins?

    Measured levels are low: the liver's main job is to process toxins so the body can excrete them, and in 52 cattle livers tested in Serbia, cadmium and lead all stayed within EU limits.555 Some metals build up with age, which is why calves' livers carry less cadmium than older cows'.47

    How do you cook beef liver so it tastes good?

    Slice it thin and sear it quickly with onions and garlic, or blend 3 to 4 ounces into a pound of ground beef so you barely notice it. Soaking it in A2 milk or canned coconut milk for 30 to 60 minutes first mellows the flavor.

    Can kids eat beef liver?

    Yes, with the amount set with your child's practitioner, because children's upper limits for vitamin A are much lower: 600 mcg a day at ages 1 to 3, 900 at 4 to 8 and 1,700 at 9 to 13.30 One ounce of pan-fried liver has about 2,200 mcg.2

    Is the cholesterol in beef liver a problem?

    Not on its own: a 3-ounce serving has 324 mg of cholesterol, and the American Heart Association's 2020 science advisory sets no numeric limit on dietary cholesterol, looking instead at your overall eating pattern.256 See our guide to normal cholesterol levels.

    Freshness & update log

    October 15, 2026 — Updated the optimal lab ranges to DrAxe.com's current standard.

    October 6, 2026 — Rewritten and re-sourced in full. Nutrition values now come from USDA's pan-fried record (the previous version used the braised record), with daily values recalculated and a per-100-gram comparison with chicken liver and steak. Added the Dr. Axe Score (7.1, math shown); Dr. Axe's guidance on organ meats, the weekly amount (about 3 ounces once a week) and desiccated liver capsules; the 1926 liver-diet study; and charts of that study, of vitamin B12 in liver and steak, and of the liver-meatball trial in children, whose results are now taken from the paper's results table. Replaced the short pregnancy note with a full section that sets the vitamin A, copper and B12 in a serving beside the daily upper limits. Added guidance for Wilson's disease, hemochromatosis, gout, children and isotretinoin, and a buying guide for capsules. Removed claims about detoxification, CoQ10, skin and testosterone, which had no supporting source, and the athlete iron-supplement study, which tested a supplement rather than liver.

    October 7, 2026 (second update) — Rechecked every nutrient figure against USDA's pan-fried record and corrected four to match it exactly: vitamin A is 7,744 mcg per 100 grams and 6,582 mcg per 3-ounce serving (with the weekly totals updated to match), vitamin B12 is 70.7 mcg per serving (2,944% of the daily value), and vitamin B6 is 0.87 mg (51%). Reworded the vitamin A toxicity review line to match what that review counted. Added the full weighting math and a link to the scoring method under the Dr. Axe Score, and made clear that a full serving isn't an everyday food while smaller amounts count toward the weekly total. Matched the Maasai line to The Biblio Diet's wording and added the book page to its quote, added transcript timestamps to three show references, and added an FAQ on beef liver and energy. Then applied Dr. Axe's Oct 7 rulings: the weekly amount now reads the same everywhere (about 3 ounces once a week, cutting back if bloodwork shows vitamin A running high), with the per-serving vitamin A and copper beside their upper limits and the twice-a-week row removed from the vitamin A table; restored the energy and detoxification benefit as benefit #5, a row in the uses table and a quote from The Biblio Diet (ebook p. 85), backed by USDA ranks for B vitamins and iron and two reviews of energy metabolism and detoxification pathways; added folate (#2 among the foods compared on this page, behind chicken liver) after the book quote; added raw kale, plus vitamin C, vitamin K and calcium rows, to the comparison table; reworded the red-meat line to name grain-fed and processed meat; and added links to related guides. Six sources added (57 to 62).

    October 8, 2026 — Re-rated the nutrient density factor from USDA data; the overall score is now 7.0.

    October 9, 2026 — Trimmed repeated book references.

    References

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    57. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central: Spinach, raw. FDC ID 168462. SR Legacy.
    58. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central: Lentils, mature seeds, cooked, boiled, without salt. FDC ID 172421. SR Legacy.
    59. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central: Kale, raw. FDC ID 168421. SR Legacy.
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    62. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central: SR Legacy, April 2018 release, full download (all foods, per 100 g). Ranks for pan-fried beef liver (FDC ID 168627) counted by DrAxe.com among the foods with a value for each nutrient: vitamin B12, 7th of 7,113; riboflavin, 20th of 7,421; niacin, 87th of 7,402; vitamin B6, 174th of 7,262; folate (DFE), 235th of 6,482; iron, 492nd of 7,713.
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