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Inositol

Also known as: myo-inositol, inositol, vitamin B8, cyclohexane-1,2,3,4,5,6-hexol

Overview

Inositol, particularly myo-inositol, is a naturally occurring compound involved in insulin signaling, cellular metabolism, and neurotransmitter regulation. It functions as a second messenger in insulin pathways, improving insulin sensitivity, which underlies its benefits in metabolic and reproductive health. Clinical evidence supports its use in reducing the risk of gestational diabetes, especially in high-risk pregnancies, with antenatal supplementation showing significant protective effects [4]. Inositol also improves metabolic parameters such as blood pressure, lipid profiles, and insulin resistance in individuals with metabolic syndrome [1][2][5]. In reproductive health, myo-inositol supplementation enhances ovarian response and embryo quality in women with poor ovarian reserve undergoing assisted reproduction [7]. Additionally, inositol may support neonatal lung maturation and reduce complications in preterm infants with respiratory distress syndrome [5]. Overall, inositol is well-tolerated with minimal side effects across diverse populations.

Dosage Guide

Therapeutic Doses

For treatment of specific conditions

Gestational diabetes prevention2 g twice dailyStart in first trimester, often combined with folic acid
Metabolic syndrome2 g twice dailySupported by 12-month trial in postmenopausal women
Polycystic ovary syndrome (PCOS) or poor ovarian response4 g dailyDivided into two doses; used pre-conception and during fertility treatments
Preterm infants with RDS80–120 mg/kg/dayAdministered enterally or intravenously in neonatal care settings

Special Forms

Alternative forms for specific needs

Myo-inositol

Most studied form; used in metabolic, reproductive, and perinatal applications

D-chiro-inositol

Less common; sometimes combined with myo-inositol for PCOS at 40:1 ratio

Clinical Notes

  • Inositol is generally well-tolerated; mild gastrointestinal side effects (nausea, diarrhea) may occur at higher doses.
  • No established RDA or UL for inositol; endogenous synthesis and dietary intake vary widely.
  • Use in pregnancy is supported for metabolic indications but should be coordinated with prenatal care providers.
  • In preterm infants, inositol supplementation should only be administered under medical supervision in a neonatal intensive care setting.

Research

Key FindingsPubMed
1

Inositol supplementation significantly reduces systolic and diastolic blood pressure in adults.

The effect of inositol supplementation on blood pressure: A systematic review and meta-analysis of randomized-controlled trials.
Clinical nutrition ESPEN2021
2

Myo-inositol (2 g twice daily) for 12 months improves insulin sensitivity, lipids, and blood pressure in postmenopausal women with metabolic syndrome.

One-year effects of myo-inositol supplementation in postmenopausal women with metabolic syndrome.
Climacteric : the journal of the International Menopause Society2012
3

Inositol has insulin-sensitizing, anti-inflammatory, and antioxidant properties, supporting its use in pregnancy-related metabolic complications.

Inositol and antioxidant supplementation: Safety and efficacy in pregnancy.
Diabetes/metabolism research and reviews2019
4

Antenatal myo-inositol supplementation reduces the risk of gestational diabetes mellitus.

Antenatal dietary supplementation with myo-inositol for preventing gestational diabetes.
The Cochrane database of systematic reviews2023
5

Supplementary inositol may reduce adverse outcomes like death and bronchopulmonary dysplasia in preterm infants with respiratory distress syndrome.

Inositol in preterm infants at risk for or having respiratory distress syndrome.
The Cochrane database of systematic reviews2019
6

Inositol supplementation improves lipid profiles, including triglycerides and HDL-C, in patients with metabolic diseases.

The effects of inositol supplementation on lipid profiles among patients with metabolic diseases: a systematic review and meta-analysis of randomized controlled trials.
Lipids in health and disease2018
7

Myo-inositol (4 g/day) improves oocyte quality and ovarian sensitivity in poor responders undergoing ICSI.

Effect of myo-inositol supplementation on ICSI outcomes among poor ovarian responder patients: A randomized controlled trial.
Journal of gynecology obstetrics and human reproduction2020

Products Containing Inositol(2 reports)