DIM (3,3'-diindolylmethane) is a compound formed in the body from indole-3-carbinol, found in cruciferous vegetables. As a supplement it is marketed for estrogen balance, and it has been studied for breast cancer prevention.
Also known as: diindolylmethane, 3,3'-diindolylmethane, BR-DIM.
DIM has no intake value or upper limit, and there is no NIH fact sheet for it. A single-dose safety study (Reed 2008) tested 50 to 300 mg of an absorption-enhanced form (BR-DIM), and a 12-month trial (Thomson 2017) used 150 mg twice a day. These are study protocols, not a recommendation.
It is sold in the US as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling. There is no FDA-approved DIM drug.
In a 12-month randomized trial of 130 women taking tamoxifen for breast cancer (Thomson 2017), BR-DIM shifted estrogen metabolism (a higher urinary 2/16α-hydroxyestrone ratio) and raised SHBG compared with placebo, but did not change breast density. It also lowered blood levels of tamoxifen's active metabolites, including endoxifen; the authors said more research is needed to know whether that weakens tamoxifen's benefit. The trial abstract notes there is limited evidence of clinically relevant activity or long-term safety for regular DIM use.
In the single-dose study (Reed 2008), BR-DIM was well tolerated up to 200 mg; at 300 mg one of six people had mild nausea and headache and one vomited. The trials cited here were in women. If you take tamoxifen or an aromatase inhibitor, or are on TRT, ask your prescriber before using DIM.
In a single-dose study (Reed 2008), DIM was detectable in blood in only one person at 50 mg; 100 mg of BR-DIM gave a mean peak of 32 ng/mL and 200 mg a mean peak of 104 ng/mL, while 300 mg did not raise the peak further (108 ng/mL). The abstract does not give a half-life or time to peak, so we do not list them.
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