Can st Johns wort cause liver damage?

St. John's Wort can potentially cause liver damage, particularly when taken in conjunction with other medications that are metabolized by the liver. It may induce liver enzymes, leading to altered metabolism of other drugs and possibly resulting in toxicity. While serious liver damage is rare, individuals with pre-existing liver conditions or those taking multiple medications should use caution and consult a healthcare professional before using St. John's Wort.