Evidence Level
Moderate
I3C has been studied for estrogen metabolism modulation since the early 1990s. Bradlow et al. first demonstrated its ability to shift estrogen metabolism toward 2-hydroxylation. A notable pilot study by Bell et al. (2000) in Gynecologic Oncology showed 50% regression of CIN 2-3 at 200-400mg daily over 12 weeks. However, the variable metabolite profile created during gastric acid conversion has led many practitioners to recommend DIM as a more predictable alternative.