DIM — Supplements

Cruciferous vegetable metabolite that modulates estrogen metabolism toward favorable hydroxylation pathways.

Overview

Diindolylmethane (DIM) is a stable metabolite of indole-3-carbinol (I3C), formed during digestion of cruciferous vegetables. DIM modulates estrogen metabolism by promoting 2-hydroxylation over 16-alpha-hydroxylation and 4-hydroxylation pathways, potentially shifting the ratio toward less estrogenic and less genotoxic metabolites. Emerging evidence supports its use in estrogen-dominant conditions, though large-scale clinical trials are limited. DIM also activates the aryl hydrocarbon receptor (AhR) and may have antiproliferative properties.

Indications

  • Estrogen metabolism optimization
  • Hormone balance support
  • Estrogen-dominant symptom management
  • Adjunctive support in hormone-sensitive conditions

Mechanism of Action

DIM induces CYP1A1 enzyme activity, promoting 2-hydroxylation of estrogens

Dosing

CompoundDoseFrequencyNotes
DIM200 mgOnce dailyMicroencapsulated or bioenhanced forms preferred for absorption

Evidence Grade

GRADE C

Safety & Contraindications

  • May alter estrogen metabolism; monitor hormones in hormone-sensitive conditions
  • GI side effects (gas, changes in urine color/odor) are common and harmless
  • May interact with estrogen-metabolizing enzymes (CYP1A1, CYP1A2)
  • Avoid with tamoxifen or aromatase inhibitors without medical guidance