Evidence Level
DIM is the most biologically relevant metabolite of indole-3-carbinol from cruciferous vegetables. Dalessandri et al. (2004) provided key clinical evidence showing DIM supplementation improves the 2:16α-hydroxyestrone ratio in women, supporting favorable estrogen metabolism. Bjeldanes et al. (1991) established the mechanistic basis for DIM's induction of Phase I and Phase II detoxification enzymes through AhR activation. Reed et al. (2005) demonstrated safety and preliminary efficacy in a Phase I cancer prevention trial. A major practical consideration is bioavailability: crystalline DIM is extremely poorly absorbed, and the BioResponse microencapsulated formulation used in most clinical trials provides dramatically superior absorption. Most supplement research and clinical applications use the BioResponse delivery system.