Nutrition
|
April 30, 2024

What Are Indoles, and Why Are They Important for Health?

Medically Reviewed by
Updated On
September 17, 2024

Indoles are organic compounds found in various plants, particularly cruciferous vegetables like broccoli, cabbage, and kale. These compounds ​​have emerged as potent agents with numerous health benefits, including enhancing liver detoxification, helping with hormonal regulation, reducing the risk of diseases like cancer, and more.Β 

This article explores the biological significance of indoles, their health effects, and potential applications for these compounds in healthcare.

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What Are Indoles?

Chemical Nature and SourcesΒ 

Indoles belong to a class of organic compounds that chemically share a bicyclic structure consisting of a six-membered benzene ring fused to a five-membered nitrogen-containing pyrrole ring. This unique structure gives indoles their distinct biological activities.

Cruciferous vegetables such as broccoli, cauliflower, Brussels sprouts, and kale are rich sources of indoles. For example, indole-3-carbinol (I3C) is formed when these vegetables are cut, chewed, or cooked and is further transformed into its more active derivative 3,3β€²-diindolylmethane (DIM). These compounds are also available in supplement form.Β 

Biochemical Role

Indoles can be derived when sulfur-containing phytochemicals in cruciferous vegetables, known as glucosinolates, break down. These compounds give crucifers their characteristic taste and aroma and contribute significantly to their nutritional and health-promoting properties.Β 

Indoles play important roles in plant physiology, influencing various aspects of growth, development, and defense mechanisms to help plants survive in harsh environments and attract pollinators. Understanding these functions in plants provides insights into potential implications for human health when these plants are consumed.

Health Benefits of Indoles

Indoles play a crucial role in various physiological processes making them beneficial for health. Some health benefits of indoles include cancer prevention, detoxification support, anti-inflammatory activity, and hormonal support.

Cancer PreventionΒ 

Research suggests that indoles such as I3C and DIM exert anti-cancer effects by modulating estrogen metabolism, inhibiting cell proliferation, inducing apoptosis (programmed cell death), and suppressing angiogenesis (the formation of new blood vessels that support tumor growth).

Support for DetoxificationΒ 

Indoles boost the activity of enzymes involved in detoxification pathways in the liver to support the transformation and elimination of harmful substances and certain hormones like estrogen from the body.Β 

Anti-Inflammatory PropertiesΒ 

Indoles are powerful antioxidants that help neutralize harmful free radicals in the body that can cause damage to cells. In this way, indoles can combat oxidative stress and reduce the risk of chronic diseases, including cancer, diabetes, cardiovascular diseases, and neurodegenerative disorders. These antioxidant properties contribute to the potent anti-inflammatory effects of indoles.Β 

Hormonal BalanceΒ 

By promoting the conversion of estrogen to its less harmful forms, indoles help maintain hormonal balance, supporting reproductive health and helping to prevent hormone-related cancers.Β 

Cardioprotective Effects

Indoles offer cardioprotective effects, including modulation of vascular function, inflammation, and oxidative stress, that may make them valuable for preventing cardiovascular diseases such as atherosclerosis, hypertension, and coronary artery disease.Β 

Dietary Sources of Indoles

Rich Food Sources:Β 

Some of the richest dietary sources of indoles are plant-based foods like cruciferous vegetables, leafy greens, other vegetables, fruits, and legumes.Β 

Cruciferous Vegetables:

  • Broccoli
  • Cauliflower
  • Brussels Sprouts
  • Kale
  • Cabbage
  • Bok Choy
  • Turnips
  • Radishes

Leafy Greens:

  • Spinach
  • Swiss Chard
  • Collard Greens

Other Vegetables:

  • Eggplant
  • Zucchini
  • Bell Peppers
  • Mushrooms

Fruits:

  • Berries (e.g., blueberries, strawberries, raspberries)
  • Oranges
  • Pineapple

Legumes:

  • Soybeans
  • Lentils
  • Chickpeas

Preparation and Cooking Tips:Β 

To maximize the indole content and bioavailability of cruciferous vegetables and other indole-rich foods, eat them raw or opt for cooking methods that preserve their integrity and enhance nutrient absorption like light steaming.Β 

Chewing your cruciferous vegetables well and/or chopping them and letting them sit before lightly cooking can also help you maximize the bioactivity of indoles and resulting health benefits. Combining indole-rich foods with foods that are high in vitamin C such as citrus fruits, bell peppers, and strawberries can help improve the bioavailability of indoles in the body.

These foods can be easily incorporated into meals and snacks such asΒ 

  • steaming some broccoli and bell peppers
  • blending greens and berries into a smoothie
  • making a comforting lentil and veggies stew
  • roasting a mix of vegetables as a side dish

Supplementation and Safety

Indole Supplements:Β 

Indole supplements containing I3C or its derivative DIM concentrated doses of indole compounds derived from cruciferous vegetables or synthetic sources. They are commonly used for hormone balance, detoxification, and prevention of cancers of the breast, prostate, and cervix.

While supplements offer more concentrated doses of indoles, their absorption and utilization by the body may differ from those obtained through dietary sources. Since indole supplements can have powerful impacts on hormones and detoxification and may therefore interact with certain medications, it is important to consult with a healthcare provider before starting any new supplement regimen.

Safety Considerations:Β 

Indoles are generally considered safe for consumption when obtained from dietary sources such as cruciferous vegetables. A balanced diet incorporating 2-3 servings of cruciferous vegetables per day can provide an adequate intake of indoles for most individuals.Β 

However, it is important to remain mindful of potential side effects, especially impacts on thyroid function and medication interactions. It is also important to individualize supplement protocols to balance each individual’s physiology. For example, DIM supplements may need to be used in conjunction with other supplements like calcium D-glucarate or broccoli sprouts/sulforaphane to keep hormones in balance.Β 

While human studies are limited, there is some concern that very high intakes of cruciferous vegetables and/or indole supplements may contribute to insufficient production of thyroid hormones as indoles can compete with iodine uptake by the thyroid gland, especially in those with insufficient iodine levels.

Due to their impacts on detoxification enzymes in the liver, indole supplements may impact the levels of certain medications including hormone replacement therapy and oral contraceptives.

Current Research and Future Directions

Emerging research has highlighted additional health benefits of indoles beyond their well-known impacts on hormone balance, detoxification, and cancer prevention.Β 

Gut Health

Recent studies suggest that indoles can be generated within the body (endogenously) via metabolism by gut microbes. They appear to exert positive effects on gut health by modulating the gut microbiota, improving the intestinal barrier, and enhancing immune function.Β 

Neuroprotection

Indoles also show promise in promoting neuroprotection, potentially helping to prevent neurodegenerative conditions like Alzheimer's and Parkinson's. These compounds are important mediators in the gut-brain axis and help reduce neuroinflammation.Β 

Metabolic Improvements

There is growing interest in indoles’ impacts on metabolic health and the prevention of obesity, diabetes, and metabolic syndrome. Indoles improve metabolic parameters such as lipid metabolism, insulin sensitivity, and energy balance.Β 

Immune Health

Indoles have immunomodulatory effects, influencing the activity of immune cells and promoting a balanced inflammatory response.

Heart Health

Recent studies show that indoles favorably modulate fibrosis, a key process in the development of cardiovascular disease.

Potential Future Therapeutic Applications

Based on this emerging research, indoles hold promise for future therapeutic applications across various health conditions. The beneficial anti-inflammatory, metabolic, and immunomodulatory effects of indoles make them valuable in many therapeutic areas.

Ongoing research into indoles' influence on gut-brain axis communication offers the potential for improving gastrointestinal health and neurological function and addressing autoimmunity.Β 

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Key Takeaways

  • Indoles have antioxidant, anti-inflammatory, detoxification-promoting, and anticancer effects.
  • Including indole-rich foods in the diet, such as cruciferous vegetables, leafy greens, fruits, and legumes, optimizes intake of this potent compound.
  • Supplements containing indole compounds like indole-3-carbinol (I3C) and diindolylmethane (DIM) offer more concentrated doses and should be used with the guidance of a healthcare provider to ensure safe and effective use.
  • Emerging research shows numerous medicinal uses and health benefits of indoles for the immune system, gastrointestinal tract, nervous system, metabolism, and cardiovascular system due to their antioxidant, anti-inflammatory, detoxification, and hormonal balancing effects.Β 

Indoles are organic compounds found in various plants, particularly cruciferous vegetables like broccoli, cabbage, and kale. These compounds have been studied for their potential health benefits, including supporting liver detoxification, helping with hormonal regulation, and potentially reducing the risk of certain health issues.

This article explores the biological significance of indoles, their potential health effects, and possible applications for these compounds in healthcare.

[signup]

What Are Indoles?

Chemical Nature and Sources

Indoles belong to a class of organic compounds that chemically share a bicyclic structure consisting of a six-membered benzene ring fused to a five-membered nitrogen-containing pyrrole ring. This unique structure gives indoles their distinct biological activities.

Cruciferous vegetables such as broccoli, cauliflower, Brussels sprouts, and kale are rich sources of indoles. For example, indole-3-carbinol (I3C) is formed when these vegetables are cut, chewed, or cooked and is further transformed into its more active derivative 3,3β€²-diindolylmethane (DIM). These compounds are also available in supplement form.

Biochemical Role

Indoles can be derived when sulfur-containing phytochemicals in cruciferous vegetables, known as glucosinolates, break down. These compounds give crucifers their characteristic taste and aroma and contribute significantly to their nutritional and health-supporting properties.

Indoles play important roles in plant physiology, influencing various aspects of growth, development, and defense mechanisms to help plants survive in harsh environments and attract pollinators. Understanding these functions in plants provides insights into potential implications for human health when these plants are consumed.

Potential Health Benefits of Indoles

Indoles may play a role in various physiological processes, potentially offering health benefits. Some potential benefits of indoles include supporting detoxification, promoting a balanced inflammatory response, and aiding in hormonal support.

Support for Detoxification

Indoles may boost the activity of enzymes involved in detoxification pathways in the liver to support the transformation and elimination of certain substances and hormones like estrogen from the body.

Anti-Inflammatory Properties

Indoles are known to be antioxidants that help neutralize harmful free radicals in the body that can cause damage to cells. In this way, indoles may help manage oxidative stress and support overall health. These antioxidant properties contribute to the potential anti-inflammatory effects of indoles.

Hormonal Balance

By promoting the conversion of estrogen to its less active forms, indoles may help maintain hormonal balance, supporting reproductive health.

Cardioprotective Effects

Indoles may offer cardioprotective effects, including modulation of vascular function, inflammation, and oxidative stress, which could be valuable for supporting cardiovascular health.

Dietary Sources of Indoles

Rich Food Sources:

Some of the richest dietary sources of indoles are plant-based foods like cruciferous vegetables, leafy greens, other vegetables, fruits, and legumes.

Cruciferous Vegetables:

  • Broccoli
  • Cauliflower
  • Brussels Sprouts
  • Kale
  • Cabbage
  • Bok Choy
  • Turnips
  • Radishes

Leafy Greens:

  • Spinach
  • Swiss Chard
  • Collard Greens

Other Vegetables:

  • Eggplant
  • Zucchini
  • Bell Peppers
  • Mushrooms

Fruits:

  • Berries (e.g., blueberries, strawberries, raspberries)
  • Oranges
  • Pineapple

Legumes:

  • Soybeans
  • Lentils
  • Chickpeas

Preparation and Cooking Tips:

To maximize the indole content and bioavailability of cruciferous vegetables and other indole-rich foods, consider eating them raw or using cooking methods that preserve their integrity and enhance nutrient absorption like light steaming.

Chewing your cruciferous vegetables well and/or chopping them and letting them sit before lightly cooking can also help you maximize the bioactivity of indoles. Combining indole-rich foods with foods that are high in vitamin C such as citrus fruits, bell peppers, and strawberries can help improve the bioavailability of indoles in the body.

These foods can be easily incorporated into meals and snacks such as

  • steaming some broccoli and bell peppers
  • blending greens and berries into a smoothie
  • making a comforting lentil and veggies stew
  • roasting a mix of vegetables as a side dish

Supplementation and Safety

Indole Supplements:

Indole supplements containing I3C or its derivative DIM offer concentrated doses of indole compounds derived from cruciferous vegetables or synthetic sources. They are sometimes used for hormone balance and detoxification.

While supplements offer more concentrated doses of indoles, their absorption and utilization by the body may differ from those obtained through dietary sources. Since indole supplements can have significant impacts on hormones and detoxification and may therefore interact with certain medications, it is important to consult with a healthcare provider before starting any new supplement regimen.

Safety Considerations:

Indoles are generally considered safe for consumption when obtained from dietary sources such as cruciferous vegetables. A balanced diet incorporating 2-3 servings of cruciferous vegetables per day can provide an adequate intake of indoles for most individuals.

However, it is important to remain mindful of potential side effects, especially impacts on thyroid function and medication interactions. It is also important to individualize supplement protocols to balance each individual’s physiology. For example, DIM supplements may need to be used in conjunction with other supplements like calcium D-glucarate or broccoli sprouts/sulforaphane to help maintain hormonal balance.

While human studies are limited, there is some concern that very high intakes of cruciferous vegetables and/or indole supplements may contribute to insufficient production of thyroid hormones as indoles can compete with iodine uptake by the thyroid gland, especially in those with insufficient iodine levels.

Due to their impacts on detoxification enzymes in the liver, indole supplements may impact the levels of certain medications including hormone replacement therapy and oral contraceptives.

Current Research and Future Directions

Emerging research has highlighted additional potential health benefits of indoles beyond their well-known impacts on hormone balance and detoxification.

Gut Health

Recent studies suggest that indoles can be generated within the body (endogenously) via metabolism by gut microbes. They appear to exert positive effects on gut health by modulating the gut microbiota, supporting the intestinal barrier, and enhancing immune function.

Neuroprotection

Indoles also show promise in promoting neuroprotection, potentially supporting brain health and helping to manage neurodegenerative conditions. These compounds are important mediators in the gut-brain axis and may help reduce neuroinflammation.

Metabolic Improvements

There is growing interest in indoles’ impacts on metabolic health and the management of obesity, diabetes, and metabolic syndrome. Indoles may support metabolic parameters such as lipid metabolism, insulin sensitivity, and energy balance.

Immune Health

Indoles have immunomodulatory effects, influencing the activity of immune cells and promoting a balanced inflammatory response.

Heart Health

Recent studies show that indoles may favorably modulate fibrosis, a key process in the development of cardiovascular disease.

Potential Future Therapeutic Applications

Based on this emerging research, indoles hold promise for future therapeutic applications across various health conditions. The beneficial anti-inflammatory, metabolic, and immunomodulatory effects of indoles make them valuable in many therapeutic areas.

Ongoing research into indoles' influence on gut-brain axis communication offers the potential for supporting gastrointestinal health and neurological function.

[signup]

Key Takeaways

  • Indoles have antioxidant, anti-inflammatory, and detoxification-supporting effects.
  • Including indole-rich foods in the diet, such as cruciferous vegetables, leafy greens, fruits, and legumes, can help optimize intake of this compound.
  • Supplements containing indole compounds like indole-3-carbinol (I3C) and diindolylmethane (DIM) offer more concentrated doses and should be used with the guidance of a healthcare provider to ensure safe and effective use.
  • Emerging research shows potential uses and health benefits of indoles for the immune system, gastrointestinal tract, nervous system, metabolism, and cardiovascular system due to their antioxidant, anti-inflammatory, detoxification, and hormonal balancing effects.
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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Bazzan, A. J., Zabrecky, G., & Newberg, A. B. (2013). Multi-nutrient supplement improves hormone ratio associated with cancer risk. J Transl Med, 11. https://doi.org/10.1186/1479-5876-11-252

Blake, K. (2023a, November 14). Integrative Strategies for Neurodegenerative Disease Management. Rupa Health. https://www.rupahealth.com/post/integrative-strategies-for-neurodegenerative-disease-management

Blake, K. (2023b, December 15). The Power of Functional Foods in Cancer Prevention. Rupa Health. https://www.rupahealth.com/post/the-power-of-functional-foods-in-cancer-prevention

Centofanti, F., Buono, A., Verboni, M., Tomino, C., Lucarini, S., Duranti, A., Pandolfi, P. P., & Novelli, G. (2023). Synthetic Methodologies and Therapeutic Potential of Indole-3-Carbinol (I3C) and Its Derivatives. Pharmaceuticals, 16(2), 240. https://doi.org/10.3390/ph16020240

Chiu, Y.-J., Lin, C.-H., Lin, C.-Y., Yang, P.-N., Lo, Y.-S., Chen, Y.-C., Chen, C.-M., Wu, Y.-R., Yao, C.-F., Chang, K.-H., & Lee-Chen, G.-J. (2023). Investigating Therapeutic Effects of Indole Derivatives Targeting Inflammation and Oxidative Stress in Neurotoxin-Induced Cell and Mouse Models of Parkinson’s Disease. International Journal of Molecular Sciences, 24(3), 2642. https://doi.org/10.3390/ijms24032642

Christie, J. (2022, December 6). The ultimate guide to thyroid hormones. Rupa Health. https://www.rupahealth.com/post/a-complete-guide-to-thyroid-hormones-a-functional-medicine-approach

Christie, J. (2023, January 6). A functional medicine approach to obesity and weight management. Rupa Health. https://www.rupahealth.com/post/an-integrative-approach-to-obesity

Cloyd, J. (2023a, April 10). A Functional Medicine Hypertension Protocol. Rupa Health. https://www.rupahealth.com/post/functional-medicine-hypertension-protocol

Cloyd, J. (2023b, May 1). A Functional Medicine Protocol for Coronary Artery Disease. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-protocol-for-coronary-artery-disease

Cloyd, J. (2023c, July 5). The Role of the Liver and Gut in Detoxification and How to Support Them With Integrative Medicine. Rupa Health. https://www.rupahealth.com/post/the-role-of-the-liver-gut-in-detoxification-and-how-to-support-it-with-integrative-medicine

Cloyd, J. (2023d, November 13). The Anti-Inflammatory Lifestyle: From Diet to Mindfulness. Rupa Health. https://www.rupahealth.com/post/the-anti-inflammatory-lifestyle-from-diet-to-mindfulness

Cloyd, J. (2023e, November 29). The Hidden Impact of Our Gut: How Intestinal Permeability Influences a Range of Diseases. Rupa Health. https://www.rupahealth.com/post/the-hidden-impact-of-our-gut-how-intestinal-permeability-influences-a-range-of-diseases

Cloyd, J. (2023f, December 5). Inflammation and Heart Disease: A Functional Medicine Approach to Prevention and Treatment. Rupa Health. https://www.rupahealth.com/post/inflammation-and-heart-disease-a-functional-medicine-approach-to-prevention-and-treatment

Cloyd, J. (2024a, January 15). Assessing Liver Function in Detoxification: When to Order Comprehensive Liver Panels. Rupa Health. https://www.rupahealth.com/post/assessing-liver-function-in-detoxification-when-to-order-comprehensive-liver-panels#:~:text=The%20Liver

Cloyd, J. (2024b, January 25). What is the Gut Microbiome? Rupa Health. https://www.rupahealth.com/post/what-is-the-gut-microbiome

Cloyd, K. (2023a, October 25). Interconnected Health: The Synergy of Hormones, Gut, and Immune Function. Rupa Health. https://www.rupahealth.com/post/interconnected-health-the-synergy-of-hormones-gut-and-immune-function

Cloyd, K. (2023b, December 20). Interpreting Oxidative Stress Markers. Rupa Health. https://www.rupahealth.com/post/interpreting-oxidative-stress-markers

Cloyd, K. (2024, January 10). Calcium-D-Glucarate’s Effectiveness in Estrogen Balance: An Integrative Endocrine View. Rupa Health. https://www.rupahealth.com/post/calcium-d-glucarates-effectiveness-in-estrogen-balance-an-integrative-endocrine-view

Coleman, E. (2024, March 22). The Top Foods Containing Indoles: A Guide to Their Health Benefits. Rupa Health. https://www.rupahealth.com/post/top-foods-containing-indoles

Esteve, M. (2020). Mechanisms Underlying Biological Effects of Cruciferous Glucosinolate-Derived Isothiocyanates/Indoles: A Focus on Metabolic Syndrome. Frontiers in Nutrition, 7. https://doi.org/10.3389/fnut.2020.00111

Felker, P., Bunch, R., & Leung, A. M. (2016). Concentrations of thiocyanate and goitrin in human plasma, their precursor concentrations in brassica vegetables, and associated potential risk for hypothyroidism. Nutrition Reviews, 74(4), 248–258. https://doi.org/10.1093/nutrit/nuv110

Garrison, K. (2024, March 12). 8 Supplements that Balance Hormones to Look Out For. Rupa Health. https://www.rupahealth.com/post/supplements-to-balance-hormones

Hu, W., Yan, G., Ding, Q., Cai, J., Zhang, Z., Zhao, Z.-M., Lei, H.-P., & Yi Zhun Zhu. (2022). Update of Indoles: Promising molecules for ameliorating metabolic diseases. Biomedicine & Pharmacotherapy, 150, 112957–112957. https://doi.org/10.1016/j.biopha.2022.112957

Katz, E., Nisani, S., & Chamovitz, D. A. (2018). Indole-3-carbinol: a plant hormone combating cancer. F1000Research, 7, 689. https://doi.org/10.12688/f1000research.14127.1

Kaushik, N., Kaushik, N., Attri, P., Kumar, N., Kim, C., Verma, A., & Choi, E. (2013). Biomedical Importance of Indoles. Molecules, 18(6), 6620–6662. https://doi.org/10.3390/molecules18066620

Khakham, C. (2023a, April 6). Understanding Your Risk of Cardiovascular Disease With Functional Medicine Labs. Rupa Health. https://www.rupahealth.com/post/understanding-your-risk-of-cardiovascular-disease-with-functional-medicine-labs

Khakham, C. (2023b, May 23). An integrative medicine approach to Alzheimer's disease: Testing, nutrition, and supplements. Rupa Health. https://www.rupahealth.com/post/to-functional-medicine-labs-that-help-individualize-treatment-for-alzheimers-disease

Kumar, D., Sharma, S., Kalra, S., Singh, G., Monga, V. D., & Kumar, B. (2020). Medicinal Perspective of Indole Derivatives: Recent Developments and Structure-Activity Relationship Studies. Current Drug Targets, 21. https://doi.org/10.2174/1389450121666200310115327

Kumari, A., & Singh, R. K. (2019). Medicinal chemistry of indole derivatives: Current to future therapeutic prospectives. Bioorganic Chemistry, 89, 103021. https://doi.org/10.1016/j.bioorg.2019.103021

Linus Pauling Institute. (2019, January 2). Cruciferous Vegetables. Linus Pauling Institute. https://lpi.oregonstate.edu/mic/food-beverages/cruciferous-vegetables

LoBisco, S. (2022, September 16). How Food Affects Your Mood Through The Gut-Brain Axis. Rupa Health. https://www.rupahealth.com/post/gut-brain-axis

Maholy, N. (2023, May 10). A Functional Medicine Immune Support Protocol. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-immune-support-protocol

Malani, S. (2023a, March 8). What is Integrative Oncology and How Can it Help Your Cancer Journey? Rupa Health. https://www.rupahealth.com/post/what-is-integrative-oncology-and-how-can-it-help-your-cancer-journey

Malani, S. (2023b, April 17). An Integrative Medicine Approach to Breast Cancer Prevention. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-breast-cancer-prevention

Mohammadi, S., Memarian, A., Sedighi, S., Behnampour, N., & Yazdani, Y. (2018). Immunoregulatory effects of indole-3-carbinol on monocyte-derived macrophages in systemic lupus erythematosus: A crucial role for aryl hydrocarbon receptor. Autoimmunity, 51(5), 199–209. https://doi.org/10.1080/08916934.2018.1494161

Nandini, D., Rao, R., Deepak, B., & Reddy, P. (2020). Sulforaphane in broccoli: The green chemoprevention!! Role in cancer prevention and therapy. Journal of Oral and Maxillofacial Pathology, 24(2), 405. https://doi.org/10.4103/jomfp.jomfp_126_19

Octavio Daniel Reyes-HernΓ‘ndez, Figueroa‐GonzΓ‘lez, G., Laura Itzel Quintas-Granados, Stephany Celeste GutiΓ©rrez-RuΓ­z, HΓ©ctor HernΓ‘ndez-Parra, Romero-Montero, A., Del, L., Sergio Alberto Bernal-ChΓ‘vez, HernΓ‘n CortΓ©s, PeΓ±a-Corona, S. I., Lashyn Kiyekbayeva, Dilek Arslan Ateşşahin, Goloshvili, T., Leyva‐GΓ³mez, G., & Javad Sharifi‐Rad. (2023). 3,3β€²-Diindolylmethane and indole-3-carbinol: potential therapeutic molecules for cancer chemoprevention and treatment via regulating cellular signaling pathways. Cancer Cell International, 23(1). https://doi.org/10.1186/s12935-023-03031-4

Prado, N. J., Ramirez, D., Mazzei, L., Parra, M., Casarotto, M., Calvo, J. P., Cuello carriΓ³n, D., Ponce Zumino, A. Z., Diez, E. R., Camargo, A., & Manucha, W. (2022). Anti-inflammatory, antioxidant, antihypertensive, and antiarrhythmic effect of indole-3-carbinol, a phytochemical derived from cruciferous vegetables. Heliyon, 8(2), e08989. https://doi.org/10.1016/j.heliyon.2022.e08989

Preston, J. (2023a, March 10). How to Improve Women’s Reproductive Health With Lab Testing. Rupa Health. https://www.rupahealth.com/post/how-to-improve-womens-reproductive-health-with-lab-testing

Preston, J. (2023b, September 15). Do Birth Control Pills Affect The Stress Response? Rupa Health. https://www.rupahealth.com/post/do-birth-control-pills-affect-the-stress-response

Qin, R., Zhao, Q., Han, B., Zhu, H.-P., Peng, C., Zhan, G., & Huang, W. (2022). Indole-Based Small Molecules as Potential Therapeutic Agents for the Treatment of Fibrosis. Front. Pharmacol, 13. https://doi.org/10.3389/fphar.2022.845892

Sharifi-Rad, M., Anil Kumar, N. V., Zucca, P., Varoni, E. M., Dini, L., Panzarini, E., Rajkovic, J., Tsouh Fokou, P. V., Azzini, E., Peluso, I., Prakash Mishra, A., Nigam, M., El Rayess, Y., Beyrouthy, M. E., Polito, L., Iriti, M., Martins, N., Martorell, M., Docea, A. O., & Setzer, W. N. (2020). Lifestyle, Oxidative Stress, and Antioxidants: Back and Forth in the Pathophysiology of Chronic Diseases. Frontiers in Physiology, 11(694). https://doi.org/10.3389/fphys.2020.00694

Stanford, J. (2024, February 13). Top 10 Anti-Inflammatory Foods to Include in Your Diet. Rupa Health. https://www.rupahealth.com/post/top-10-anti-inflammatory-foods-to-include-in-your-diet

Sun, P., Huang, Y., Yang, X., Liao, A., & Wu, J. (2023). The role of indole derivatives in the growth of plants: A review. Frontiers in Plant Science, 13. https://doi.org/10.3389/fpls.2022.1120613

Sweetnich, J. (2023a, March 17). Iodine 101: Testing, Top Foods, and Supplements. Rupa Health. https://www.rupahealth.com/post/iodine-101-testing-and-supplementing

Sweetnich, J. (2023b, April 21). Functional Medicine Labs and Supplements to Support Each Phase of the Menstrual Cycle. Rupa Health. https://www.rupahealth.com/post/functional-medicine-labs-and-supplements-to-support-each-phase-of-the-menstrual-cycle

Sweetnich, J. (2023c, April 25). Complementary and Integrative Medicine Approaches to Type 2 Diabetes Management. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-type-2-diabetes-management

Sweetnich, J. (2023d, May 9). How to make sure your patients are getting enough vitamin C in their diet: Understanding testing, rdas, and the benefits of supplementation. Rupa Health. https://www.rupahealth.com/post/vitamin-c-101

Sweetnich, J. (2023e, May 19). Overview of The Liver 101: Top Conditions, Specialty Testing, and Integrative Medicine Treatment Options. Rupa Health. https://www.rupahealth.com/post/overview-liver-101-top-conditions-and-testing

Sweetnich, J. (2023f, June 30). Top 5 Antioxidants That Can Improve Your Health and How To Test Your Patient’s Levels. Rupa Health. https://www.rupahealth.com/post/top-5-antioxidants-to-improve-your-health

Weinberg, J. L. (2022, March 31). How To Tell If You Have An Estrogen Imbalance. Www.rupahealth.com. https://www.rupahealth.com/post/a-functional-medicine-approach-to-estrogen-imbalance

Weinberg, J. L. (2023, January 11). How To Test Your Patients For Metabolic Syndrome. Rupa Health. https://www.rupahealth.com/post/how-to-test-your-patients-for-metabolic-syndrome-a-functional-medicie-approach

Weinberg, J. L. (2024, January 2). Impact of Plant-Based Diets on Chronic Inflammation Reduction. Rupa Health. https://www.rupahealth.com/post/impact-of-plant-based-diets-on-chronic-inflammation-reduction

Ye, X., Li, H., Anjum, K., Zhong, X., Miao, S., Zheng, G., Liu, W., & Li, L. (2022). Dual Role of Indoles Derived From Intestinal Microbiota on Human Health. Frontiers in Immunology, 13. https://doi.org/10.3389/fimmu.2022.903526

Yoshimura, H. (2023, October 23). Are Supplements Really Necessary?: Pros, Cons, and How Testing Can Help. Rupa Health. https://www.rupahealth.com/post/are-supplements-really-necessary-pros-cons-and-how-testing-can-help

Yuan, G., Sun, B., Yuan, J., & Wang, Q. (2009). Effects of different cooking methods on health-promoting compounds of broccoli. Journal of Zhejiang University SCIENCE B, 10(8), 580–588. https://doi.org/10.1631/jzus.b0920051

Zhu, Y., Zhao, J., Luo, L., Gao, Y., Bao, H., Li, P., & Zhang, H. (2021). Research progress of indole compounds with potential antidiabetic activity. European Journal of Medicinal Chemistry, 223, 113665. https://doi.org/10.1016/j.ejmech.2021.113665

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