I am on HRT with DIM...

forex

New Member
Hi-

I may be able to help in your research regarding DIM as I have already been on it for 3 weeks.

I am 34, 6'1 and 225. My HRT Doc found my free test levels at 47 and my IGF-1 levels at 165, so he recommended I go on an HRT program.

I started in late December 04. He has given me 6IU HGH a week as well as 4000 units of HCG a week (all mixed in same vial so I do 1 shot a day, b4 bed). In addition I take a bunch of antioxidants as well twice a day.

I noticed after the first week that my dry skin (on forehead) had gone away, but then about 2 weeks in it came back! :eek: My wedding ring got tighter and I put on 10lbs.

My first blood test 6 weeks in came back well. Free test up to 180 and IGF-1 at 266, I forgot what my E2 levels were at but the Doc said they were high, so he cut back on the HCG to 3500 a week from 4000 and upped the HGH to 7IU a week. My Dr. does not want to use an aromatase inhibitor unless it is absolutely necessary. So he said give it another 6 weeks and we'll test your blood again...

At about that time I came across an article regarding DIM and how it works on cutting down E2, so I bought some and started taking 4 pills(125 mg 35% DIM) a day, 2 in AM and 2 in PM. I have really not noticed much of a difference, so I wanted to inquire SWALE (by the way very informative website, thank you) as to how much a man of my weight should be taking on a daily basis in order for it to really work?

I will continue to report how it affects me, and maybe this could help you data as far as your study is concerned. Thank you for your reply. :)

Ed
 
Welcome to Meso-Rx

The first item most of us will want to know is what the reference ranges are for each of you tests results. If you have them send another post.

One should expect that the E2 levels will rise dramatically taking 3500 4000 IU of HCG in one shot. SWALE limits his patients to no more than 250-500 IUs of HCG at a time, because of the E2 sides as well as some issues with LH insensitivity with a dose above 500IU. (See Swales post https://thinksteroids.com/community/threads/19856 , A RECIPE FOR SUCCESS)

As far as the use of DIM for E2 control, some on this board have been successful reducing E2 with it, I on the other hand had no luck at all with a dosage of 1000 mg a day. DIM is an aromatize inhibitor that blocks the conversion of Test to E2.

My experience with HCG dosages of more than 500IUs a week raised my E2 levels to double the top of range. I would assume that 3,500 to 4,000 a week would do the same.

As far as the weight gain, that is probably from the HGH, as one has a tendency to retain water when you first start. Or it might be the result of your E2 elevation as that will also cause the same.

Again, the best thing you can do now is read Swales Recipe for Success, as it has the best info out there.
 
Thanks for your reply :)

My HRT Doc told me that the optimal range for free test from Quest is 150-180. As for the HGH (IGF-1 levels) for an athletic 25 yr old range from 350-550.

B-4 I posted a thing I read this entire site including, Swales document, all of which was very informative.

I take 3500iu a week, in 7 separate doses (500IU each) of HCG.

Back to the DIM, I ran out last night and did not take it this morning...I started to get a slight headache, could not concentrate and felt cloudy :( . So I attributed that to lack of DIM and E2 build up, 2 hrs ago I went to the store and bought DIM capsules from Vitamin World [ http://www.vitaminworld.com/pages/file.asp?xs=425A8D2CA3154E05B5A3812A94686C03&PID=1253&np=0 ] and now I feel fine, that was a 200mg dose I took.

Is that an average dose for people that it does work on? What is a safe amount to go up to? Thank you. ;)
 
Sorry that I misunderstood your post, as I thought you were taking your HCG in one shot.

I had taken 1000 mg of DIM a day for over two years with no side effects. I do not know if you can even have a toxic dose, or if it will lower you E levels to low. It just would not lower my E2 below top of range. I hope you are one of those lucky bros that it works on.
 
Interesting. I wonder how DIM would work compared to 6-OXO or perhaps if they would compliment each other as an anti estrogen protocol.
 
forex said:
Thanks for your reply :)

My HRT Doc told me that the optimal range for free test from Quest is 150-180. As for the HGH (IGF-1 levels) for an athletic 25 yr old range from 350-550.

B-4 I posted a thing I read this entire site including, Swales document, all of which was very informative.

I take 3500iu a week, in 7 separate doses (500IU each) of HCG.

Back to the DIM, I ran out last night and did not take it this morning...I started to get a slight headache, could not concentrate and felt cloudy :( . So I attributed that to lack of DIM and E2 build up, 2 hrs ago I went to the store and bought DIM capsules from Vitamin World [ http://www.vitaminworld.com/pages/file.asp?xs=425A8D2CA3154E05B5A3812A94686C03&PID=1253&np=0 ] and now I feel fine, that was a 200mg dose I took.

Is that an average dose for people that it does work on? What is a safe amount to go up to? Thank you. ;)

I think the amount of HCG you are taking is still way too much.. contributing to your high E levels... try amounts of 250ius 3-4 times a week...
Some brands of Dim are from what I have heard not as good as others... Try Indolplex with Dim by PhytoPharmica... I have heard of many positive results with this one.
 
jw, are you sure that dim is an anti-aromatase? Please check your sources and post up a reference, ie study. Here is one saying it induces aromatase activity.

jb

==================

Toxicol Sci. 2001 May;61(1):40-8. Related Articles, Links


2,3,7,8-Tetrachlorodibenzo-p-dioxin and diindolylmethanes differentially induce cytochrome P450 1A1, 1B1, and 19 in H295R human adrenocortical carcinoma cells.

Sanderson JT, Slobbe L, Lansbergen GW, Safe S, van den Berg M.

Research Institute for Toxicology, Utrecht University, P.O. Box 80176, 3508 TD Utrecht, The Netherlands. t.sanderson@ritox.vet.uu.nl

Diindolylmethane (DIM) is an acid-catalyzed condensation product of indole-3-carbinol, a constituent of cruciferous vegetables, and is formed in the stomach. DIM alters estrogen metabolism and inhibits carcinogen-induced mammary tumor growth in rodents. DIM is a weak agonist for the aryl hydrocarbon (Ah) receptor and blocks the effects of estrogens via inhibitory Ah receptor-estrogen receptor cross-talk. DIM and various structural analogs were examined in H295R cells for effects on 3 cytochrome P450 (CYP) enzymes involved in estrogen synthesis and/or metabolism: CYP1A1, CYP1B1, and CYP19 (aromatase). Aromatase activity was measured by conversion of 1 beta-(3)H-androstenedione to estrone and (3)H(2)O. H295R cells were exposed to the test chemicals dissolved in dimethyl sulfoxide for 24 h prior to analyses. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) (0--30 nM) and DIM (0--10 microM) induced ethoxyresorufin-O-deethylase (EROD) activity, as a measure of CYP1A1 and possibly 1B1 activity, with EC(50) values of about 0.3 nM and 3 microM, respectively. DIM, but not TCDD, induced aromatase activity with an apparently maximal 2-fold increase at 10 microM; higher concentrations of DIM and many of its analogs were cytotoxic. TCDD (30 nM) significantly increased CYP1A1 and 1B1 mRNA levels, but had no effect on mRNA for CYP19. DIM (3 microM) significantly increased mRNA levels for all three CYPS: DIM analogs with substitutions on the 5 and 5' position (3 microM) induced aromatase and EROD activity, together with mRNA levels of CYP1A1, 1B1, and 19; analogs that were substituted on the central carbon of the methane group showed little or no inductive activity toward the CYPS: In conclusion, DIM and several of its analogs appear to induce CYPs via multiple yet distinct pathways in H295R human adrenocortical carcinoma cells.
 
jboldman said:
jw, are you sure that dim is an anti-aromatase? Please check your sources and post up a reference, ie study. Here is one saying it induces aromatase activity.

DIM (3 microM) significantly increased mRNA levels for all three CYPS: DIM analogs with substitutions on the 5 and 5' position (3 microM) induced aromatase and EROD activity, together with mRNA levels of CYP1A1, 1B1, and 19;

:mad: S**t, maybe that is why my E2 was so high! I started DIM on the advice of my PCP to keep my E2 in check.
 
well, that is just one study so i would not bet the bank on it. :) It does have positive effects on the metabolism of e2

jb
 
jboldman said:
jw, are you sure that dim is an anti-aromatase? Please check your sources and post up a reference, ie study. Here is one saying it induces aromatase activity.

jb

==================

Toxicol Sci. 2001 May;61(1):40-8. Related Articles, Links


2,3,7,8-Tetrachlorodibenzo-p-dioxin and diindolylmethanes differentially induce cytochrome P450 1A1, 1B1, and 19 in H295R human adrenocortical carcinoma cells.

Sanderson JT, Slobbe L, Lansbergen GW, Safe S, van den Berg M.

Research Institute for Toxicology, Utrecht University, P.O. Box 80176, 3508 TD Utrecht, The Netherlands. t.sanderson@ritox.vet.uu.nl

Diindolylmethane (DIM) is an acid-catalyzed condensation product of indole-3-carbinol, a constituent of cruciferous vegetables, and is formed in the stomach. DIM alters estrogen metabolism and inhibits carcinogen-induced mammary tumor growth in rodents. DIM is a weak agonist for the aryl hydrocarbon (Ah) receptor and blocks the effects of estrogens via inhibitory Ah receptor-estrogen receptor cross-talk. DIM and various structural analogs were examined in H295R cells for effects on 3 cytochrome P450 (CYP) enzymes involved in estrogen synthesis and/or metabolism: CYP1A1, CYP1B1, and CYP19 (aromatase). Aromatase activity was measured by conversion of 1 beta-(3)H-androstenedione to estrone and (3)H(2)O. H295R cells were exposed to the test chemicals dissolved in dimethyl sulfoxide for 24 h prior to analyses. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) (0--30 nM) and DIM (0--10 microM) induced ethoxyresorufin-O-deethylase (EROD) activity, as a measure of CYP1A1 and possibly 1B1 activity, with EC(50) values of about 0.3 nM and 3 microM, respectively. DIM, but not TCDD, induced aromatase activity with an apparently maximal 2-fold increase at 10 microM; higher concentrations of DIM and many of its analogs were cytotoxic. TCDD (30 nM) significantly increased CYP1A1 and 1B1 mRNA levels, but had no effect on mRNA for CYP19. DIM (3 microM) significantly increased mRNA levels for all three CYPS: DIM analogs with substitutions on the 5 and 5' position (3 microM) induced aromatase and EROD activity, together with mRNA levels of CYP1A1, 1B1, and 19; analogs that were substituted on the central carbon of the methane group showed little or no inductive activity toward the CYPS: In conclusion, DIM and several of its analogs appear to induce CYPs via multiple yet distinct pathways in H295R human adrenocortical carcinoma cells.
Wow that is interesting too, the bottom line for me though is I believe it is actually working- the DIM-

Yesterday I took a total of 600mg split into 3 doses and I felt great, and remember I started the day without it and was not feeling to good (as I mentioned in my first post).

Swale if you are reading this I would love to hear your opinion and what dosage you are currently recommending to you other clients presently "testing" DIM. And if possible any thing they may notice while on it. Thank you :)
 
remember now, i am not saying that dim does not work, just that it works in other ways than as an anti-aromatase. :)

jb
 
That is a bombshell of a study, jb. I had not seen it before.

Please refer to the attached chart.

The CYP1A1 enzyme produces the wonderfully beneficial 2-hydroxyestrone metabolite. Therefore increasing its activity is a very good thing.

The CYP1B1 enzyme makes 4-hydroxyestrone, which, like 16-alpha-hydroxyestrone, is genotoxic, mutagenic and procarcinogenic. However, 4-OHE is inhibited with DMG. A better choice might be TMG, which becomes DMG after it donates a methyl group, and that event has various and sundary health benefits of its own. TMG must be taken at about twice the amount of DMG for its effects on estrogen management.

I have never heard anyone say this before, but perhaps we should not ever take DIM without TMG/DMG also, lest we increase 4-OHE levels. I will be lecturing on this very topic before the Royal College of Physicians in a few weeks, so maybe I have something new to share with them. Thank you for making me think about this topic today.

Calcium D-glucarate also inhibits 4-OHE. AAL Laboratories says folic acid will as well.

My understanding is that DIM improves the healthful 2-hydroxyestrone to nasty 16-alpha-hydroxyestrone ratio.

Here is the text from a slide in the lecture I give before the A4M:

To increase 2-OHE/16-aOHE:

Phytoestrogens
High protein, low fat diet
Reduce Omega-6 and AA generators
Add Omega-3s
Add flaxseed
Di-indolemethane--DIM (300mg QD)
Indole-3-carbinol (I-3-C)
Inhibit aromatase activity

I have heard that DIM inhibits the CYP3A4 enzyme, which produces 16-aOHE, and that is also why 2-OHE/16-aOHE ratio goes up, but I am not sure about this. Perhaps someone else can come up with something on it.

As far as DIM causing an overall increase in total estrogens, I have heard the opposite. Dr. Michael Zeligs has written several articles on it, and so I have always considered DIM to have CYP19 (aromatase)-inhibiting properties. Maybe this is wrong, though.

Let's continue to dig in on this subject. At the end of my "A Primer on Estrogen Management in the Adult Male Patient" lecture, I close by calling this topic the "new frontier in TRT medicine". I truly believe it is that important.
 
What a great link, thank you! :) I love the E2/DIM chart they have on this page:

http://www.dimfaq.com/site/diagram.htm

Thanks again for that post.

Swale, I thank you as well for your insightfull comments on DIM and TMG, where could one purchase that product? I have looked but only found it in powders with creatine. :)
 
Last edited:
Matt

Matt Muscle said:
I think the amount of HCG you are taking is still way too much.. contributing to your high E levels... try amounts of 250ius 3-4 times a week...
Some brands of Dim are from what I have heard not as good as others... Try Indolplex with Dim by PhytoPharmica... I have heard of many positive results with this one.
I also use Indolplex/DIM by PhytoPharmica a poster David Z told me about it.
I under stand it converts E2 onto good E. I am at bad times using both Indolplex/DIM and 1/4 of a pill of Arimidex. This is working very good for me my Dr. feels that Indolplex/DIM is a wonder drug.
Phil
 
This study seemed to conclude that dim did NOT induce cyp3A4.

jb

==========

Xenobiotica. 1998 Aug;28(8):803-11. Related Articles, Links


3,3'-Diindolylmethane induces CYP1A2 in cultured precision-cut human liver slices.

Lake BG, Tredger JM, Renwick AB, Barton PT, Price RJ.

BIBRA International, Carshalton, UK.

1. The effect of 3,3'-diindolylmethane (DIM), an indole derivative derived from cruciferous vegetables, on cytochrome P450 (CYP) isoforms in the CYP1A and CYP3A subfamilies has been studied in 72-h cultured human liver slices. 2. In cultured human liver slices 50 microM DIM induced 7-ethoxyresorufin O-deethylase and to a lesser extent 7-methoxyresorufin O-demethylase activities. 3. Western immunoblotting of liver slice microsomes was performed with antibodies to rat CYP1A2 and human CYP3A4. Compared with control liver slice microsomes (dimethyl sulphoxide-only treated), DIM induced levels of CYP1A2 but had little effect on levels of CYP3A4. The treatment of human liver slices with 2 microg/ml of the polycholorinated biphenyl mixture Aroclor 1254 also resulted in an induction of levels of CYP1A2, but had no effect on CYP3A4. 4. These results demonstrate that DIM induces CYP1A isoforms in cultured human liver slices. Some variability in the magnitude of induction of enzyme activities by DIM was observed in four human liver samples examined. For 7-ethoxyresorufin O-deethylase, the magnitude of induction by 50 microM DIM ranged from 2.3- to 19.3-fold. 5. These results demonstrate that cultured human liver slices can be used to evaluate the effect of chemicals derived from cruciferous and other vegetables on CYP isoforms.
 
Great finds, Vforcer and forex!

That estrogen pathways chart shows how DIM improves the 2-OHE/16-a-OHE ratio--by increasing 2-OHE production.

I think I remember reading something over at LEF which contradicts Dr. Zeligs' assertions regarding the I3C/DIM debate. Who wants to do a little research there and report back to us on it?
 
My wife has stage 1 breast cancer so we were looking at a safe alternative to Tamoxifin and Arimidex since her tumor was Estrogen positive. Since Tamoxifin has nasty side effects including causing cancer, our doctor, who looks for safe natural substances before going the pharmaceutical route, immediately recommended DIMM and it's proposed benefits in metabolising and balancing estrogen.
 
Hey guys, I have found 2 articles at the Life Extention website, based on these articles I may be switching tp I3-C as it seems to be better.
Guys and Swale could you please let me know what you think about this as I am getting confused :confused: . Thanks.

*********************************************************
LE Magazine January 2002
I3C vs DIM

Indole-3-carbinol is a phytochemical found in cruciferous vegetables such as cabbage. It shows great potential in preventing cancer, especially hormone-related cancers such as breast and prostate. Now available as a supplement, I3C is hugely popular both as an antioxidant and as a cancer fighter. Research on I3C dates to the 1960s when it was investigated for its actions against chemical carcinogens. Since that time, researchers have been able to show that I3C has powerful and diverse ways of stopping cancer.
Recently, it was brought to our attention that negative statements were being made about I3C. These were being generated by a man who owns a patent on a product he wants people to buy instead of I3C. The product is DIM (3,3'-Diindolylmethane). DIM is formed naturally when I3C is broken down in the gut. Unlike I3C, there are no published human studies on DIM. In fact, there are few published studies at all. This is one of the reasons we do not recommend substituting DIM for I3C.

Who is Michael Zeligs, and why is he saying negative things about I3C?
Michael Zeligs is a doctor who has a patent for a DIM product that combines DIM with d-alpha-tocopheryl polyethylene glycol-1000 succinate to make it absorbable by the gut.

What is d-alpha-tocopheryl polyethylene glycol-1000 succinate?
Polyethylene glycol is a detergent-like chemical that breaks down fat (not to be confused with propylene glycol which is used in anti-freeze). D-alpha-tocopheryl succinate is a synthetic, water-soluble form of vitamin E. According to Zeligs, this is the first time this combination has been used for a supplement.

What is DIM, anyway?
DIM is a break-down product of I3C. DIM forms naturally in the stomach when I3C is ingested. I3C is the parent molecule of not only DIM, but dozens of other phytochemicals that form in the gut. In addition to DIM, I3C also creates ICZ, NI3C and IAN. Although these others havent been studied very well, there is some evidence that they may each have their own unique actions against cancer. For example, ICZ blocks the dioxin receptor better than DIM or I3C.1 This mechanism could potentially forestall some types of chemically-induced cancers. And while IAN doesnt seem to do much for breast cancer, it looks promising for stomach cancer.[2] When a person takes I3C, they get all of these products, not just DIM. It has been suggested that the phytochemicals in cruciferous vegetables may work differently in combination than they do individually[3]a good reason to keep the spectrum as broad as possible.

Why has a chemical been added to DIM?
By itself, DIM is not absorbed adequately, so, an artificial system has to be created to make it bioavailable. This isnt nescessary when DIM is converted naturally from I3C.

Zeligs claims that I3C disappears after its ingested. Whats the truth about this?
It disappears because its converted to other products, including DIM. According to researchers, At acid pH comparable to that found in the stomach, I3C forms to wide variety of condensation products ranging from linear and cyclic dimers, trimer and tetramers to extended heterocyclic compounds such as indolocarbazoles.[4] To put DIMs contribution into perspective, DIM represents about 6% of the total condensation products of I3C.[5] I3C itself is one of hundreds of phytochemicals in cruciferous vegetables.

Zeligs claims that I3C creates questionable reaction products in the gut.
One of those questionable products is DIM.
When DIM is administered by itself, it can actually provoke the growth of human breast cancer cells and upregulate the estrogen receptor under certain laboratory conditions.[6] We want to stress that this does not occur when the full product, I3C, is taken under ordinary conditions.While the break-down products of I3C may act unpredictably by themselves, when taken as I3C in their natural form, they are beneficial for preventing, and possibly treating, hormone-related cancers. The data is so compelling, it has provoked normally reserved researchers into such praise as, I3C has tremendous potential in the treatment and prevention of cancer, particularly estrogen-enhanced cancer.[4] Although that comment was directed towards I3Cs estrogen-blocking potential, I3C has equally important actions against all types of cancer. The list includes powerful DNA protection, carcinogen detoxification, modulation of the growth and invasion of cancer cells, induction of apoptosis selectively in cancer cells, bone marrow protection during chemotherapy, neutralization of cancer-causing heterocyclic amines (i.e., from cooked meat), modulation of the estrogen receptor (which is also a player in non-hormone related cancers), and possible upregulation of tumor suppressor genes.

Zeligs says that no direct benefits can be attributed to absorbed I3C. The benefits of I3C have been proven in vitro, in rodents and in humans.
Whether they are direct or indirectI3C works.

According to Zeligs, DIM has been extensively tested in humans.
One of the biggest problems with DIM is that it hasnt been extensively tested in humans. In fact, there are no published human studies at all. This is a critical difference between DIM and I3C. One of the problems with DIM is that because human studies havent been done, no one knows the proper dose. Is this important? You bet. In separate studies, using different amounts, researchers have gotten completely opposite results on DIMs effect on the estrogen receptor in vitro.[7,8]
ANTI-CANCER EFFECTS OF I3C
I3C DIM
1 dot meand I3-C is chosen 2 dote meand both I3C and DIM are chosen.

Induces Apoptosis (Cell Suicide)
Inhibits Breast Cancer in Rodents
Inhibits Growth of Estrogen Receptor-
Positive Breast Cancer Cells
Inhibits Growth of Estrogen Receptor-
Negative Breast Cancer Cells
Prevents DNA Damage
Enhances 2-Hydroxylation of Estrogen-
(benefical) at the Expense of 16 a-Hydroxylation
Antioxidant
Blocks Dioxin
Blocks Estrogen
Enhances Effects of Tamoxifen
Blocks Chemically Induced 16 a-Hydroxylation
Blocks Enzyme (CYP1B1) that Promotes 4-Hydroxylation
Inhibits DNA Damage in Bone Marrow-
of Rodents Treated with Cyclophosphamide
Effective Against Cervical Cancer in Rodents
Stops the Growth of Prostate Cancer Cells
Upregulates BRCA1 Tumor Suppressor Gene
Zeligs claims that DIM is more stable than I3C and therefore more desirable.
If I3C were stable, it would never form DIM or the myriad of other beneficial phytochemicals. I3C is inherently unstable in stomach acid which converts it to its multi-faceted products. As with all pro-active vitamins and supplements, I3C should be protected from heat and light. The product has been tested for 12 months at room temperature with no loss of potency.
According to Zeligs, the anti-cancer effects of I3C are due to DIM.
Far from it. DIM by itself has, in some cases, completely opposite effects of I3C on human breast cancer cells.Research indicates that there is a difference between the way I3C acts versus the way its individual products act. For example, regarding a study on androgen metabolism and I3C, researchers at Queens University wrote that the action of multiple inducers present in cruciferous and other vegetables might produce androgen metabolic profiles very different from those produced by individual components isolated from them.[9] There is a prevailing view that the effects of I3C are due to the combination of its condensation products together, not one single product. DIM may eventually prove to enhance the effects of I3C, but the research has not been done.

What are some of DIMs opposite effects on breast cancer cells?
I3C studies show that I3C stops the growth of estrogen receptor-positive and negative breast cancer cells in culture.[10] DIM reportedly either makes estrogen receptor positive breast cancer cells grow[11] or inhibits them[9] in culture. According to researchers at the University of California, DIM promotes the growth of human breast cancer cells about as half as well as estrogen when no estrogen is present in the culture. In addition, DIMs inhibition of cancer cell growth was weak in the presence of estrogen. Remember, these are laboratory conditions only and probably dont occur in real life. How DIM behaves, however, may depend on dose. Researchers at Texas A&M report that DIM significantly counteracts estrogen-induced growth of MCF-7 cells in culture at higher doses. However, unlike I3C which retards the growth of estrogen receptor negative breast cancer cells, DIM has no effect on estrogen receptor negative cells.[10] Another question about DIM is whether it can increase aromatase in breast and other tissue. Aromatase is an enzyme that helps create estrogen. DIM reportedly enhances the enzyme in adrenocortical cancer cells.[11] Not only is DIM not responsible for the anti-cancer effects of I3C, it has fewer anti-cancer effects (due to fewer molecular mechanisms), when its isolated from the other phytochemicals that naturally occur with it.

Why does Zeligs say that DIM is the active form of I3C responsible for improved estrogen metabolism?
Good question, because the study Zeligs uses to back that up doesnt say that. It points to another product, ICZ, as potentially having greater estrogen metabolizing potential than either DIM or I3C.[12] Not only is DIM not the active form of I3C, it may not even be a desirable form of I3C. In the cited study, DIM had to be injected to reach the level of estrogen modulation obtained with oral I3C.

Zeligs claims that DIM promotes cervical health.
The women in the study he refers to took I3C, not DIM.

According to Zeligs, DIM makes estrogen replacement therapy safer in women and DHEA therapy safer in men.
Its a plausible theory, but DIMs ability to modulate hormone replacement therapy is unknown. The studies cited by Zeligs were done with I3C, not DIM. Studies on I3C show that it modulates hormones in addition to estrogen, including androsterone, androstenedione and testosterone.13, 14 This, along with the fact that I3C prevents uterine-related cancers, suggests that I3C will be beneficial for people taking hormone replacement therapy. These kinds of studies have not been done with DIM.

According to Zeligs, Supplemental use of DIM promotes higher levels of 2-hydroxy estrogens. This use in animals has been shown to be associated with the prevention of spontaneous, estrogen related cancer of the breast and uterus.It sounds good, but the problem is that, again, the research was done with I3C, not DIM.

Zeligs claims that DIM is unique in its ability to shift estrogen metabolism, and that DIM decreases the activity of the estrogen receptor system.
The study Zeligs says backs this up tested both I3C and DIM. DIM was less effective when taken orally. Only when it was injected, did DIM reach I3Cs level of estrogen modulation. Far from being unique in its ability, DIM was less effective than I3C when taken orally. As for the claim that DIM decreases estrogen receptor system activity, estrogen receptors were not evaluated in the study at all. However, another study has evaluated the effect of DIM on the estrogen receptor. According to the results, DIM activates, not deactivates, the estrogen receptor.[15] Activating the estrogen receptor enhances, rather than prevents, the growth of estrogen-dependent cancer cells. Again, this points up the problem of isolating DIM from its natural milieu. When DIM is taken in its natural form, I3C, the estrogen receptor is downregulated.[4]

Zeligs claims that people should buy DIM instead of I3C.
Only if they want to take something thats untested versus something thats proven. Part of I3C is naturally converted to DIM when I3C is taken as a supplement or eaten in vegetables. I3C forms dozens of other phytochemicals in addition to DIM which have proven anti-cancer effects. Anyone who metabolizes I3C will get DIM along with other naturally-occurring products.
The importance of co-factors in determining how these phytochemicals behave is illustrated by what vitamin C does to I3C. If vitamin C is not present when cruciferous vegetables are eaten, more I3C will naturally form. If vitamin C is added, less I3C will form, but more of a different product will result from digestion. Its called ascorbigen, and it can produce 20 times more ICZ than I3C.[16] No one knows the significance of this yet, although its been suggested that ICZ may be able to change estrogen metabolism better than I3C or DIM.
The cancer fighting compounds in cruciferous vegitables clearly work synergistically. Thats why a person wanting to gain an extra edge over cancer should stick with I3C, which has valid scientific studies behind it.
________________________________________
References
1. Gillner M, et al. Interactions of indoles with specific binding sites for 2,3,7,8-tetrachlorodibenzo-p-dioxin in rat liver. Mol Pharm 28:357-63.
2. Wattenberg LW, et al. 1978. Inhibition of polycyclic aromatic hydrocarbon-induced neoplasia by naturally occurring indoles. Cancer Res 38:1410-13.
3. Chang YC, et al. 1999. Cytostatic and antiestrogenic effects of 2-(indole-3-ylmethyl)-3,3-diindolylmethane, a major in vivo product of dietary indole-3-carbinol. Biochem Pharm 58:825-34.
4. Meng Q, et al. 2000. Indole-3-carbinol is a negative regulator of estrogen receptor- signaling in human tumor cells. J Nutr 130:2927-31.
5. Grose KR, et al. 1992. Oligomerization of indole-3-carbinol in aqueous acid. Chem Res Toxicol 5:188-93.
6. Chang YC, et al. 1999. Cytostatic and antiestrogenic effects of 2-(indole-3-ylmethyl)-3,3-diindolylmethane, a major in vivo product of dietary indole-3-carbinol. Biochem Pharmacol 58:825-34.
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