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Supplements/Compound

D-Chiro-Inositol

Complementary inositol used in 40:1 myo-inositol ratio for PCOS.

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Overview

Complementary inositol used in 40:1 myo-inositol ratio for PCOS.

Natural sources
  • Endogenously produced or biosynthesized molecule
  • Standardized pharmaceutical- or food-grade supplement
  • Combined with cofactors that improve absorption or activity
Common forms
  • Capsule or softgel
  • Powder
  • Sublingual or buccal
  • Liposomal liquid

Mechanism of action

Second messenger for insulin in androgen-producing tissues; lowers androgens.

Pathways
  • · Second messenger for insulin in androgen-producing tissues
  • · lowers androgens

Effects on the body

Decreases
free T in PCOS women

Organ system effects

Evidence-based benefits

Lowers free T in PCOS women

Moderate evidence

Potential side effects

Common
  • · D-Chiro-Inositol is generally well-tolerated at evidence-based doses
  • · Mild GI discomfort (nausea, loose stools, or bloating) possible at higher intakes
  • · Headache or transient fatigue reported by a small fraction of users
Rare
  • · Allergic or hypersensitivity reaction (rash, itching, swelling)
  • · Sleep disturbance if taken late in the day
Serious
  • · Discontinue and seek medical advice if symptoms are severe, persistent, or include difficulty breathing

Drug interactions

Prescription medications (general)
Always disclose D-Chiro-Inositol use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
minor

Safety & non-supplemental interactions

Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.

Avoid with these conditions
  • ·Hypoglycemia tendency
Avoid / monitor with these medications
  • ·Insulin, metformin, sulfonylureas (additive hypoglycemia)

Supplement interactions

Pairs well with
  • A high-quality multivitamin
    Covers micronutrient cofactors that support most supplement pathways.
  • Omega-3 (EPA/DHA)
    Foundational anti-inflammatory support that complements most regimens.
Avoid combining with

No specific avoidances listed.

Dosing & bioavailability

Typical dose
50 mg paired with 2 g myo-inositol
Best form
Most evidence is based on the capsule or softgel form.
Timing
Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
With food?
Optional

Where to buy

Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

Scientific evidence8Show studies
RCTN Engl J Med · 1999

D-chiro-inositol in PCOS

Nestler JE, et al.

8-week RCT of DCI 1200 mg in PCOS.

Key findings

Improved ovulation, insulin sensitivity, and androgens.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: D-Chiro-Inositol — Lowers free T in PCOS women

Live PubMed search

Live results for "D-Chiro-Inositol Lowers free T in PCOS women" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching D-Chiro-Inositol and "Lowers free T in PCOS women". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: D-Chiro-Inositol — randomized controlled trial

Live PubMed search

Live results for "D-Chiro-Inositol randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching D-Chiro-Inositol and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: D-Chiro-Inositol — meta-analysis

Live PubMed search

Live results for "D-Chiro-Inositol meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching D-Chiro-Inositol and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: D-Chiro-Inositol — pharmacokinetics

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Live results for "D-Chiro-Inositol pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching D-Chiro-Inositol and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: D-Chiro-Inositol — safety adverse events

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Live results for "D-Chiro-Inositol safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching D-Chiro-Inositol and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: D-Chiro-Inositol — dose response

Live PubMed search

Live results for "D-Chiro-Inositol dose response" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching D-Chiro-Inositol and "dose response". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewGoogle Scholar · 1970

Google Scholar: D-Chiro-Inositol — clinical evidence

Live Scholar search

Cross-database citation index for D-Chiro-Inositol as it relates to "clinical evidence".

Key findings

Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

Open study
Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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