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Patient Resources - Diindolylmethane

Nutrition and Estrogen Metabolism

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Diindolylmethane


Mechanisms throught which dietary and nutritional factors may influence estrogen metabolism

 

MECHANISM OF ACTION

 

 

NUTRIENT

Promote C – 2 hydroxylation over C – 4 and/or C – 16 hydroxylation of estrogens

Cruciferous vegetables, indole-3-carbinol (I3C), isoflavones (soy, kudzu)

Reduce the oxidation of catechol estrogens (2 – OH and 4 – OH)

Vitamins A, E & C, N-acetylaysteine, tumeric, green tea, lycopene, a-lipoic acid, favonoids

Promote the methylation of catechol estrogens (2 – OH and 4 – OH)

Folate vitamins B2, B6 & B12, nmethylglycine, magnesium

Increased circulating concentrations of sex hormone binding globulin (SHBG), thus reducing levels of unbound, active estrogens

Fiber, lignans (flaxseed), isoflavones (soy, kudzu)

Inhibit the activity of aromatase, which converts testosterone and androstenedione into estradiol and estrone, respectively.

Lignans (flaxseed), isoflavones (soy, kudzu)

Promote the detoxification of estrogens by up-regulating Phase I and Phase II enzymes

 Tumeric (curcumin), D-limonene, magnesium, vitamins B2, B6 & B12 flavonoids

Inhibit the activity of glucuronidase, which deconjugates estrogens in the large intestine, allowing them to be reabsorbed and re-metabolised

Fiber, probiotics (acidophilus, bifidobacteria), calcium D-glucarate

Modify estrogen receptor activity

Isoflavones (soy, kudzu), lignans (flaxseed), indole-3-carbinol