Myo-Inositol

Othervitamin-likeStrong dose evidence

Also known as: inositol, myo-inositol, cis-1,2,3,5-trans-4,6-cyclohexanehexol, vitamin B8 (obsolete), meso-inositol

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Myo-inositol is a sugar alcohol the body makes from glucose and the most abundant inositol isomer in cells, where it forms the backbone of phosphatidylinositol signaling lipids and the second messengers that relay insulin and hormone signals. It is not a true vitamin, but it is sold alongside B vitamins. Its main use is in women's hormone and metabolic formulas: meta-analyses of randomized trials in polycystic ovary syndrome support 2 to 4 g per day, often in a 40:1 ratio with D-chiro-inositol. It is a sweet, water-soluble powder that dissolves easily in drink mixes.

Research summary

Precursor of phosphatidylinositol and inositol phosphoglycan second messengers that mediate insulin signaling, FSH signaling in the ovary, and serotonin receptor function.

Dosage

Daily amounts, of compound.

Lowest studiedTypical rangeHighest studiedUpper limit
2 g2–4 g4 g

Doses are grams of myo-inositol. Meta-analyses of randomized PCOS trials pool studies that mostly used 2 to 4 g/day (Unfer 2017, Fatima 2023); a ratio study gave 2 g of inositols twice daily, 4 g/day total, with the 40:1 myo- to D-chiro ratio (about 3.9 g myo-inositol plus 100 mg D-chiro) restoring ovulation best (Nordio 2019). Usually split morning and evening, with or without food. Mild GI upset is the main tolerability issue at high intake. No UL. Higher gram-level doses have been used in psychiatric research and are not reflected here.

Standardization: ≥98% myo-inositol

Source material: corn or rice bran phytate hydrolysis

Forms of Inositol

FormTypical doseElement %FormatsPrice
Myo-Inositol2–4 gPowder, Capsule, Tabletlow
D-Chiro-Inositol100–600 mgCapsule, Powder, Tablethigh

Format suitability

  • Capsule
  • Powder
  • Tablet
  • Softgel
  • Gummy
  • Liquid

Gram doses make capsule counts high (about 4 to 8 capsules for 2 to 4 g); powder is the natural format. Mildly sweet and freely soluble.

Formulation notes

Commonly combined with D-chiro-inositol (40:1), folate, and chromium in PCOS and fertility formulas. Corn-derived grades are typically gluten-free but confirm source.

Sources

  1. Myo-inositol effects in women with PCOS: a meta-analysis of randomized controlled trials. (Unfer V, 2017)PubMed
  2. Effects of myo-inositol vs. metformin on hormonal and metabolic parameters in women with PCOS: a meta-analysis. (Fatima K, 2023)PubMed
  3. The 40:1 myo-inositol/D-chiro-inositol plasma ratio is able to restore ovulation in PCOS patients: comparison with other ratios. (Nordio M, 2019)PubMed

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