Per the systematic review of 118 trials, the effect is "moderate but meaningful", which means it's not a magic bullet, but it significantly improves outcomes, especially for the heavy-drinking pattern that causes most of the harm
Recommendations for liver/kidney health: Individuals with fatty liver disease, hepatitis, cirrhosis, or chronic kidney disease should consult their physician before regular moringa use Choose certified organic, third-party lab-tested moringa leaf-only products Avoid root, bark, and high-dose seed extracts entirely Consider periodic lab monitoring (liver function tests, creatinine, eGFR) with long-term use From Tribe Organics perspective, emphasizing leaf-only, organic, lab-tested products is a credible risk-reduction strategy that protects customers from both intrinsic and extrinsic toxicity sources
For example, a 10 mg vial reconstituted with 1 mL of bacteriostatic water produces 10,000 mcg/mL
PloS One (2015) 10(6):e0127558
And it is notoriously difficult to achieve without pharmaceutical assistance