Photo by Innerbody Research
Hormone changes can have a major effect on your overall health and well-being. From your mood to your physical health,1 even gradual changes (like the natural decline in bioavailable testosterone as you age) can have a big impact.2 Because of this, many people seek out ways to boost certain hormones or balance them out. One potential solution that’s been growing in popularity over the past few years is diindolylmethane, or DIM, supplements.
Found in cruciferous vegetables, DIM is a phytonutrient that has shown promise as a way to boost estrogen metabolism, improve prostate health, reduce cancer risk, and more.3 But are DIM supplements right for you? In our guide to the best DIM supplements of 2024, we’ll help you answer that question.
If you’re in a hurry, check out our summary of recommendations below. And for more details, read on to learn how we made our choices.
Among our top picks, Nutricost provides the most meaningful dose, and it does so while avoiding allergens and saving you money.
Nutricost doesn’t contain the most bioactive form of DIM. That distinction goes to other competitors like Puritan’s Pride. But Nutricost costs significantly less than Puritan’s pride, dose for dose, even as its much larger amount of DIM should more than make up for the bioavailability difference. You can buy directly from Nutricost or from the company’s store on Amazon, but Amazon gives you better control over delivery intervals if you subscribe.
Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions involving staying healthy and living healthier lifestyles.
For our guide to the best DIM supplements, our team spent over 80 hours researching the ins and outs of how DIM may benefit a variety of concerns, including menopause symptoms, prostate health, hormone imbalances, and more. In total, we read through 40+ studies, journals, reviews, and other pieces of scientific literature to bring you the most accurate and up-to-date information. Our team also purchased the market’s top DIM supplements in order to relay details that could only be gathered from partaking in the customer experience.
Additionally, like all health-related content on this website, this review was thoroughly vetted by one or more members of our Medical Review Board for accuracy.
When evaluating DIM supplements, we judged them based on four criteria that consumers often care about the most:
Overall, all of our picks performed fairly well in each category. Below, we go into more detail on how each pick fared, including which one took the crown in each criterion.
Winner: Thorne
Since the FDA doesn’t regulate supplements like it does prescription medications, it’s up to supplement manufacturers to ensure their products are safe.4 This is often done by adhering to current Good Manufacturing Practices (GMP), subjecting products to independent third-party testing, or obtaining various safety certifications. Here’s how our top picks compare:
Thorne | Puritan’s Pride | Nature’s Craft | Nutricost | |
---|---|---|---|---|
GMP compliance? | ||||
Third-party testing? | ||||
Other testing | In-house | In-house | ||
Certifications | TGA-certified; NSF-certified | ISO 17025 | ||
Major allergens | None | Contains soy allergens | Produced in a facility that processes milk, soy, wheat, egg, peanuts, tree nuts, fish, and shellfish | None |
As you can see, only Thorne checks off all the boxes for safety. Nature’s Craft is a close second, but it does come with the risk of allergen exposure via cross-contamination.
One of our top picks, Puritan’s Pride, contains soy allergens and only has in-house testing done. The company notes that this testing is completed “as many as 15 times,” which is commendable, but no matter how many times it’s done, we’d still prefer to see the involvement of independent third parties.
Winner: Nutricost (with Puritan’s Pride a close runner-up)
Taking a look at our top picks’ ingredients — particularly the amount of DIM in each — you might be confused as to why Puritan’s Pride DIM Complex, the one with the smallest serving of DIM, could be considered among the most effective. It’s because Puritan’s Pride is the only one of our picks that uses a highly bioavailable form of DIM called “BioResponse DIM,” or “BR-DIM.”
Crystalline DIM tends to exhibit low oral bioavailability, so, as noted in one 2011 study, “in an effort to improve relative bioavailability, most pharmacokinetic studies regarding DIM have been reported using BR-DIM.” The researchers go on to say this form of DIM “exhibits 50% higher bioavailability.”5 Additionally, when human subjects were given the same dose of either BR-DIM or crystalline DIM, the former group had higher levels of DIM in the blood “along with increased net exposure” to the compound.5
But that isn’t to say that the crystalline DIM found in our other picks isn’t beneficial; if it’s not as bioavailable as the branded BR-DIM, then you’d just need to deliver considerably more of it. And that’s precisely what Nutricost does. Nutricost’s 300mg per serving dwarfs the 100mg offered by Puritan’s Pride. As a potential bonus, Nutricost and Nature’s Craft both add BioPerine — a patented black pepper extract — to their DIM supplements, and an alkaloid in black pepper called piperine has been shown to increase the bioavailability of different drugs by anywhere from 30% to 200%.6 7 For example, as noted in a 2013 overview of herbal bioavailability enhancers, piperine increased the bioavailability of curcumin “almost ten-fold.”7 It may theoretically improve the bioavailability of DIM, though it’s worth noting that there haven’t been any studies specifically on black pepper extract and DIM together.
In the case of Thorne’s DIM supplement, the actual DIM takes a bit of a backseat to another ingredient — TrueBroc, a patented form of the compound sulforaphane glucosinolate. Sulforaphane glucosinolate’s clinical potential was discovered in 1992 by Johns Hopkins University researchers who found that the broccoli-derived compound appeared to have anticancer potential.8 Since then, it’s been found to have antioxidant, anti-inflammatory, and immunomodulatory properties, along with the potential to alter estrogen metabolism.9 10
So, to sum it up, all of our picks have their own merits, but Puritan’s Pride uses the most bioavailable and effective form of DIM on the market — and one that’s used in a majority of studies. But Nutricost provides enough of the less bioavailable DIM to deliver a more potent dose.
Winner: Nutricost DIM Capsules
Often, cost is the deciding factor for people deciding whether or not they’ll buy a supplement — and DIM is no exception. Both Nutricost and Nature’s Craft are our most cost-effective picks, but the former managed to beat the latter due to a couple of factors, which are illustrated in the chart below.
Note: Puritan’s Pride DIM Complex is only available as a buy-one-get-one or buy-two-get-three bulk purchase; you can’t buy just one bottle.
Puritan’s Pride | Nutricost | Nature’s Craft | Thorne | |
---|---|---|---|---|
Servings per bottle | 60 (120 total) | 30 or 120 | 120 | 60 |
Single purchase cost | $40 ($20 per bottle) | $10 or $20 | $20 | $47 |
Single purchase price per serving | $0.33 | $0.33 or $0.17 | $0.17 | $0.78 |
Subscription discount | 20% | 20% | 15% | 10% |
Subscription cost | $32 ($16 per bottle) | $8 or $16 | $17 | $42 |
Subscription price per serving | $0.27 | $0.27 or $0.13 | $0.14 | $0.70 |
Bulk discount? | Yes; buy 1 get 1 ($40) or buy 2 get 3 ($80) | No | No | No |
Money-back guarantee? | Yes; 90 days | Yes; 60 days | No | Yes; 60 days |
As you can see, Nutricost offers the lowest up-front cost option ($10), one of the lowest costs per serving ($0.17 — tied with Nature’s Craft), and one of the highest subscription discounts (20% — tied with Puritan’s Pride). All of this, plus the addition of a money-back guarantee, is why we chose Nutricost as our best budget option.
In contrast, Puritan’s Pride and Thorne both have fairly high initial costs — especially Thorne, when you consider that it’s almost $50 for a single bottle compared to the two you get from Puritan’s Pride. Thorne also has the lowest subscription discount of the bunch, and — to make matters worse — that discount only kicks in on subsequent shipments, not the initial purchase. Whether you subscribe to Thorne or not, you’ll always have to pay $47 for your first bottle of its Hormone Advantage.
Winner: Puritan’s Pride
Truly, all of our top DIM picks are nearly tied for convenience — they all offer multi-month supplies in single-pill doses that can be purchased on a subscription basis. However, there are a few factors that set Puritan’s Pride apart from the rest:
To be fair, Thorne and Nature’s Craft have similarly flexible subscription plans, and both Thorne and Nutricost have money-back guarantees (60 days each), but Puritan’s Pride happens to do those same things just a bit better.
The chart below offers a quick reference to how our top DIM picks compare in key ways, such as dosing, price, servings per bottle, and more.
Puritan’s Pride | Nutricost | Nature’s Craft | Thorne | |
---|---|---|---|---|
DIM per serving | 100mg | 300mg | 200mg | 150mg |
Other key ingredients | N/A | BioPerine (black pepper extract) | Panax ginseng, grape seed extract, astragalus root extract, BioPerine | Pomegranate extract, sulforaphane glucosinolate (TrueBroc) |
Single purchase cost | $40 (two bottles) | $10 or $20 | $20 | $47 |
Servings per bottle | 60 (120 total) | 30 or 120 | 120 | 60 |
Single purchase price per serving | $0.33 | $0.33 or $0.17 | $0.17 | $0.78 |
Subscription discount | 20% | 20% | 15% | 10% |
Subscription price | $32 ($16 per bottle) | $8 or $16 | $17 | $42 |
Subscription cost per serving | $0.27 | $0.27 or $0.13 | $0.14 | $0.70 |
Money-back guarantee? | Yes; 90 days | Yes; 60 days | No | Yes; 60 days |
Free shipping threshold | $49 | $59 | $50 | Ground shipping is free |
DIM is the abbreviation for diindolylmethane (or, to be more specific, 3,3'-diindolylmethane), a phytonutrient found in cruciferous vegetables such as cauliflower, brussels sprouts, cabbage, kale, and broccoli.3 11 This compound is perhaps most well-known for its antiandrogenic and antineoplastic (anticancer) potential. As explained by the National Cancer Institute, these effects are due to DIM’s apparent abilities to promote estrogen metabolism and cause apoptosis (cell death) in tumors, respectively.3 12
Because of these potential effects, DIM is most often supplemented in an effort to improve the following concerns:
In the next section, we review what the research says about DIM’s ability to help in each of these key areas.
As explained by experts, “DIM alters estrogen metabolism by shifting metabolism from carcinogenic 16α-hydroxy to inert 2-hydroxy derivatives, and it antagonizes estrogen and androgen receptor activity.”13
In layman’s terms, this means that DIM changes how estrogen is processed in the body. Certain estrogen by-products may raise the risk of certain cancers, while others don’t. DIM helps influence estrogen to break down into harmless by-products instead. Additionally, DIM can help balance hormones by attaching to the same receptors that estrogen and testosterone (an androgen) do.
Researchers go on to note that lower concentrations of DIM can help protect cells against oxidative stress — an imbalance of free radicals in the body that can lead to cell damage and many long-term conditions like cancer, Alzheimer’s disease, and heart disease.13 14
Here’s how these properties of DIM can benefit certain concerns according to current research:
DIM appears to have some ability to protect against prostate concerns, specifically prostate cancers. A study from 2016 on 21 human patients diagnosed with a high-grade prostatic intraepithelial neoplasia (PIN) — a condition that can increase prostate cancer risk — found that 12 months of treatment with a DIM-based therapy called Infemin yielded “statistically significant” results.15 16 Around half (45.5%) of treated patients experienced “a complete regression of PIN,” while no regression was seen in patients in the placebo group.15
A separate 2016 study on BR-DIM supplementation for prostate cancer patients saw similar success. A group of 28 men with localized prostate cancer were given BR-DIM at a daily dose of 450mg for two weeks. In the end, 93% of patients had detectable prostatic DIM levels, and declines in prostate-specific antigen (PSA) were seen in 71% of patients.17 (PSA levels are elevated in people with prostate cancer.)18
As we noted above, DIM appears to be able to protect against prostate cancers — but it also has the potential to reduce the risk of other cancers. While more human studies are necessary, researchers note in a 2016 review that the “evidence for a protective role of DIM against breast cancer continues to grow.” The review explains that DIM has “demonstrated chemopreventive activity in all stages of breast cancer carcinogenesis.”19
Some cell and animal studies on DIM for ovarian,20 gastrointestinal,21 and cervical cancer have shown promising results, as well.22 But, again, high-quality human trials are necessary before we can say anything definite about DIM for these cancers.
By improving estrogen metabolism, DIM may be able to balance out your hormones.23 Vasomotor symptoms — hot flashes and night sweats — are often attributed to changes in gonadal hormones like estrogen.24 And changes in your hormones can also affect your mood.25 All of this is to say that while there aren’t any direct studies on DIM for these common menopause symptoms, it stands to reason that it may be able to help with them.
DIM may also be able to help prevent or reduce menopausal weight gain by suppressing the creation of new fat cells.26 A small 2023 trial on 60 premenopausal women found that, compared to placebo, 300mg of BR-DIM daily led to “a more significant decrease in body fat percentage” after 30 days.27
There isn’t any direct research available on DIM’s ability to balance hormones in men, but researchers in one review note that DIM may act as an aromatase inhibitor — this means that it could help prevent the conversion of testosterone to estrogen.19 Aromatase is “the key enzyme in estrogen biosynthesis,” according to experts, so DIM may be able to help some men with high estrogen or low testosterone (or both).28
For most healthy adults, DIM should be safe when taken as directed. Most of the studies that use DIM report few to no serious adverse effects. For example:
Of course, we don’t recommend taking doses larger than what’s recommended on the Supplement Facts label. And it’s always important to speak with your doctor first before starting a new supplement.
Insider Tip: Because DIM can alter your hormones, it’s best avoided by people who are pregnant or nursing or those who have hormone-sensitive cancers.
Additionally, while serious adverse effects aren’t common, some patients have reported headaches or gastrointestinal upset when taking DIM in doses of 300mg or higher.30
Because of its relatively mild side effects, DIM should be suitable for most healthy adults who aren’t pregnant or breastfeeding. Of course, it’s recommended you speak with your doctor before starting a new supplement, even if you’re perfectly healthy — just to be safe.
As with most supplements, there are specific people who may benefit most from it. In the case of DIM, this includes:
However, it’s worth noting that the only potential benefits of DIM with a decent amount of research are those for prostate health and the risk of certain cancers. Other possible benefits are largely based on animal/cell studies, anecdotal evidence, or assumptions based on the way DIM appears to work.
As mentioned earlier in this review, those who are pregnant or breastfeeding or who have hormone-sensitive cancers should steer clear of DIM due to its potential effects on hormone levels. If you fall into any of these categories, then it’s important to speak to your doctor regarding your reasons (symptoms, concerns, etc.) for wanting to take DIM; they’ll be able to point you in a safe direction.
Best value
Photo by Innerbody Research
Nutricost offers a straightforward, cost-effective DIM supplement. Like Nature’s Craft, the company adds BioPerine, a patented black pepper extract that may be able to improve DIM’s bioavailability.6 There aren’t any studies directly investigating BioPerine’s effects on DIM, but the extract has demonstrated the ability to increase the bioavailability of some substances by up to 200%. When added to curcumin, for example, researchers note that black pepper increased its bioavailability “almost ten-fold.”7
Nutricost’s supplement contains 300mg of DIM per serving, more than any of our other top picks. It’s three times the amount included in the Puritan’s Pride DIM supplement, which is important since research indicates that Nutricost’s form of DIM is only two-thirds as bioavailable as the branded form found in Puritan’s Pride. At three times the amount, but with 67% of the bioavailability, Nutricost is positioned to be slightly more potent, and its cost per serving is half the cost of Puritan’s Pride.
Photo by Innerbody Research
On the subject of manufacturing, Nutricost’s supplements are made in GMP-compliant facilities and undergo third-party testing, and its one-a-day DIM supplement is also vegetarian and free from all major allergens, like Thorne’s.
Nutricost won our choice for best budget pick for multiple reasons, including:
Here’s how the pricing works out:
30 capsules | 120 capsules | |
---|---|---|
Servings per bottle | 30 | 120 |
Single purchase cost | $10 | $20 |
Single purchase price per serving | $0.33 | $0.17 |
Subscription cost | $8 | $16 |
Subscription price per serving | $0.27 | $0.13 |
For the 120-capsule option, only Nature’s Craft (also $20) matches Nutricost’s price, but Nature’s Craft contains 100mg less DIM per serving. The lower subscription discount (only 15%) and the lack of a money-back guarantee from Nature’s Craft further help the nod go to Nutricost.
While the 20% discount is nice, the biggest frustration with purchasing from Nutricost comes from its subscription intervals — you can only have deliveries every 30 days. This makes subscribing to anything other than the 30-day supply a bit of a pain unless multiple people in your household are taking DIM. This is a big reason why we recommend that you buy via Nutricost’s company store on Amazon.
Best for menopause
Photo by Innerbody Research
Thorne Hormone Advantage, previously known as Thorne DIM Advantage, is similar to Nature’s Craft in that it offers additional ingredients besides DIM (pomegranate extract and sulforaphane glucosinolate). However, unlike the competition, Thorne’s supplement does not contain a bioavailability enhancer, making DIM more of a supporting player.
Photo by Innerbody Research
Let’s examine how the other ingredients can help support people dealing with menopause:
Though more large, high-quality studies are necessary, pomegranate appears to be able to “significantly” improve menopause symptoms, including the severity of hot flashes, according to a 2023 systematic review.39
And an unrelated 2022 trial on 78 perimenopausal women found that a month of treatment with a pomegranate supplement improved hot flashes, insomnia, nervousness, depression, fatigue, headache, sexual complaints, and more.40
Like DIM, sulforaphane glucosinolate is a compound found in cruciferous vegetables. Besides being “an effective chemoprotective agent,” as noted in a 2018 study, it may also be beneficial for menopause.41
In a 2017 study on breast cancer survivors, a higher intake of soy and cruciferous vegetables led to less treatment-related fatigue and lower odds of experiencing other menopausal symptoms.42 Sulforaphane can also protect against osteoporosis, which menopause increases the risk of due to lower estrogen levels.43
Add to the above research DIM’s potential to balance hormones by boosting estrogen metabolism, and it becomes clear why we chose Thorne Hormone Advantage as the best DIM supplement for menopause.23
Like Puritan's Pride, Thorne has some strange pricing conditions — at least when it comes to subscriptions.
At first, things seem pretty straightforward with Thorne: There’s a one-time purchase option and a subscription. However, Thorne’s subscriptions don’t work like typical ones; you only get the discount on subsequent deliveries. This means that, even if you subscribe from the outset, you’ll still be paying the same amount as a one-time purchase for your first order.
Here’s how Thorne Hormone Advantage is priced:
On top of an odd subscription policy, Thorne is the most expensive of our picks, and the eventual subscription discount is the lowest in this guide (only 10% off). But if you’re unhappy with your Thorne purchase, the company does offer a 60-day money-back guarantee, which we appreciate.
Most bioavailable
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Puritan’s Pride DIM Complex is the only one of our picks to use BR-DIM, a proprietary form of the compound that “exhibits 50% higher bioavailability” than the typically used crystalline form.5 It’s the form used most often in studies involving DIM, so the majority of the positive research surrounding DIM is on the same BR-DIM that Puritan’s Pride uses.
Photo by Innerbody Research
Like our other top picks, this supplement requires you to take only one capsule per day, but Puritan’s Pride states on the bottle that it can be taken up to three times daily. Each 60-capsule bottle should last you two months if you stick to taking only one capsule, but taking three capsules drops that down to only a 20-day supply and significantly increases the price relative to competitors. (At one capsule per day, it’s already double the cost per serving compared to Nutricost.)
Allergen-wise, Puritan’s Pride DIM Complex is free from milk, gluten, wheat, and fish ingredients, but it does contain soy, so those with soy allergies will need to steer clear. By contrast, our recommendations from Thorne and Nutricost are allergen-free.
Puritan’s Pride has a fairly unique purchasing structure. For the most part, you can never get just one bottle of anything; you’ll always be receiving at least two bottles of whatever supplement you’re buying. Currently, for the DIM Complex, there are two options, both available as one-time purchases and subscriptions:
Buy 1 Get 1 | Buy 2 Get 3 | |
---|---|---|
Servings per bottle | 60 (120 total) | 60 (300 total) |
Single purchase cost | $40 ($20 per bottle) | $80 ($16 per bottle) |
Single purchase price per serving | $0.33 | $0.27 |
Subscription cost | $32 ($16 per bottle) | $64 ($13 per bottle) |
Subscription price per serving | $0.27 | $0.21 |
If you can afford it, the five-bottle option will cover your DIM needs for almost a year. (The subscription takes a decent amount of money off the larger order, too.)
Additionally, if you’re unhappy with your DIM Complex purchase, Puritan’s Pride has a generous 90-day money-back guarantee. This is the longest of our top picks; Nutricost and Thorne have 60-day policies, and Nature’s Craft has none.
Best for prostate health
Photo by Innerbody Research
Unlike our picks from Puritan's Pride and Nutricost, Nature’s Craft DIM For Men is a supplement that contains more than just DIM and a bioavailability enhancer. At the time of this writing, this product’s handful of ingredients include:
Photo by Innerbody Research
Since Nature’s Craft is our pick for prostate health, let’s go over how the additional ingredients (save for BioPerine, which we’ve discussed) can help:
As explained by researchers in a 2013 study, a specific compound in grape seed extract (procyanidin B2 3,3″-di-O-gallate) may be able to both slow the growth of prostate cancer tumors and promote tumor cell death.35
The same researchers went on to conduct a small trial. They gave 20 prostate cancer patients 150mg of grape seed extract twice a day for a year and monitored their disease progression. In the end, while eight patients dropped out of the study due to needing more aggressive therapy, grape seed extract extended the average time it took for patients’ prostate-specific antigen (PSA) numbers to double — from 5.4 months to 6.4 months. This suggests that the extract slowed cancer cell production.36
These possible benefits — plus DIM’s potential to protect against prostate cancers15 — are why we chose Nature’s Craft as our pick for prostate health.
The pricing for Nature’s Craft DIM For Men is pretty straightforward (unlike Puritan’s Pride) since the company only offers one size option. The pricing details are:
Nature’s Craft is similar in pricing to Nutricost, but Nutricost’s higher DIM amount, better subscription deal (20%), 30-day supply option, and money-back guarantee earned it the crown for best budget option.
If you want to stock up on Nature’s Craft DIM For Men and add at least an additional $50 of it to your order (three bottles; about $60), you can purchase it using interest-free Shop Pay installments. This pay-in-four option reduces your initial cost down to about $15.
However, if you want to try a single bottle before subscribing, we recommend iHerb, which saves you two dollars and is less expensive than Amazon.
No matter your reason for investigating DIM supplements, there are multiple alternatives out there that may suit your needs just as well — or maybe even better. DIM’s potential for cancer prevention, improving prostate health, menopause symptom relief, and men’s hormone balance are a few major reasons people seem interested in it. So, below, you’ll find four categories of alternatives dedicated to each of those goals.
When it comes to cancer-preventing supplements, the University of Michigan Rogel Cancer Center notes that some have more potential than others, but none conclusively prevent any form of cancer. The most promising ones are:44
Unfortunately, there’s no real way to fully prevent cancers, but there are some things you can do to lower your risk, including:45
For prostate health, Dr. Quoc-Dien Trinh, a urological surgeon at the Harvard-affiliated Brigham and Women's Hospital states, “Research has explored supplements' role in prostate health suggesting positive results.”46
The supplements that have shown some promise include:46
Ultimately, though, Dr. Trinh recommends people rely on healthy eating — such as following a plant-based or Mediterranean diet — over supplements for prostate health.46
When it comes to menopause, the available treatments aren’t one-size-fits-all. While one person could benefit greatly from a supplement, someone else may do better with hormone replacement therapy, prescriptions, or something else entirely. It all depends on your symptoms, concerns, and unique body.
Some of our favorite options for menopause support include:
Depending on whether you’re looking for a way to reduce estrogen or boost testosterone, there are different approaches to consider.
If high estrogen is your concern, then your best bet as an alternative to DIM may be a medication, like a prescription aromatase inhibitor or a selective estrogen receptor modulator (SERM).47 Alternatively, reducing the fat in your diet may be able to reduce estrogen levels (according to the results of a 2016 mouse study).48 And some botanicals — like grape seed extract — may act as natural aromatase inhibitors.49
If you’re looking to boost testosterone, there are countless T-booster supplements on the market. However, our team has researched dozens of them, and we found nearly all of them to be lacking in one way or another: subclinical doses, dangerous inclusions, missing potentially beneficial ingredients, and so on. Because of this, we worked with experts to create our own — Innerbody Testosterone Support.
You can read more about that supplement and others we found recommendable in our guide to the best testosterone boosters.
Ultimately, though, if you’re concerned about a hormone imbalance, it’s best to speak with your doctor first and get testing done. If you don’t want to wait for your doctor to order testing — and you want to bring the results to them — check out our guide to at-home testosterone tests.
Sources
Innerbody uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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Pataky, M. W., Young, W. F., & Nair, K. S. (2021). Hormonal and metabolic changes of aging and the influence of lifestyle modifications. Mayo Clinic Proceedings, 96(3), 788-814.
National Cancer Institute. (n.d.). Diindolylmethane. NIH.
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Banerjee, S., Kong, D., Wang, Z., Bao, B., Hillman, G. G., & Sarkar, F. H. (2011). Attenuation of multi-targeted proliferation-linked signaling by 3,3'-diindolylmethane (DIM): From bench to clinic. Mutation Research, 728(1-2), 47-66.
Derosa, G., Maffioli, P., & Sahebkar, A. (2016). Piperine and its role in chronic diseases. Advances in Experimental Medicine and Biology, 928, 173–184.
Kesarwani, K., Gupta, R., & Mukerjee, A. (2013). Bioavailability enhancers of herbal origin: an overview. Asian Pacific Journal of Tropical Biomedicine, 3(4), 253-266.
Houghton C. A. (2019). Sulforaphane: Its "coming of age" as a clinically relevant nutraceutical in the prevention and treatment of chronic disease. Oxidative Medicine and Cellular Longevity, 2019, 2716870.
Ruhee, R. T., & Suzuki, K. (2024). The immunomodulatory effects of sulforaphane in exercise-induced inflammation and oxidative stress: A prospective nutraceutical. International Journal of Molecular Sciences, 25(3), 1790.
Yang, L., Zahid, M., Liao, Y., Rogan, E. G., Cavalieri, E. L., Davidson, N. E., Yager, J. D., Visvanathan, K., Groopman, J. D., & Kensler, T. W. (2013). Reduced formation of depurinating estrogen-DNA adducts by sulforaphane or KEAP1 disruption in human mammary epithelial MCF-10A cells. Carcinogenesis, 34(11), 2587-2592.
Memorial Sloan Kettering Cancer Center. (2023). Diindolylmethane. MSKCC.
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Fan, S., Meng, Q., Xu, J., Jiao, Y., Zhao, L., Zhang, X., Sarkar, F. H., Brown, M. L., Dritschilo, A., & Rosen, E. M. (2013). DIM (3,3′-diindolylmethane) confers protection against ionizing radiation by a unique mechanism. Proceedings of the National Academy of Sciences, 110(46), 18650-18655.
Cleveland Clinic. (2024). Oxidative Stress. Cleveland Clinic.
Paltsev, M., Kiselev, V., Drukh, V., Muyzhnek, E., Kuznetsov, I., Andrianova, E., & Baranovskiy, P. (2016). First results of the double-blind randomized placebo-controlled multicenter clinical trial of DIM-based therapy designed as personalized approach to reverse prostatic intraepithelial neoplasia (PIN). The EPMA Journal, 7(1), 5.
National Cancer Institute. (n.d.). Prostatic intraepithelial neoplasia. NIH.
Hwang, C., Sethi, S., Heilbrun, L. K., Gupta, N. S., Chitale, D. A., Sakr, W. A., Menon, M., Peabody, J. O., Smith, D. W., Sarkar, F. H., & Heath, E. I. (2016). Anti-androgenic activity of absorption-enhanced 3, 3'-diindolylmethane in prostatectomy patients. American Journal of Translational Research, 8(1), 166-176.
National Cancer Institute. (2022). Prostate-specific antigen (PSA) test. NIH.
Thomson, C. A., Ho, E., & Strom, M. B. (2016). Chemopreventive properties of 3,3'-diindolylmethane in breast cancer: evidence from experimental and human studies. Nutrition Reviews, 74(7), 432-443.
Kandala, P. K., & Srivastava, S. K. (2012). Diindolylmethane suppresses ovarian cancer growth and potentiates the effect of cisplatin in tumor mouse model by targeting signal transducer and activator of transcription 3 (STAT3). BMC Medicine, 10, 9.
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