Compound or practice · Supplement

Inositol (Myo-Inositol)

A sugar-alcohol with genuinely good evidence in PCOS and reasonable anxiety/OCD signals.

Overall grade
Grade B
Last revised
3
graded outcomes
0
references listed

A structured monograph in Prometheus's bundled library. Its grades are the monograph's own reading of the evidence, not a peer-reviewed review.

2 at grade B · 3 at grade C — 5 graded rows

What is known

Each outcome with its grade (how strong the evidence is, A to D), the size of the effect where the entry records one, and how often studies agree.

  • PCOS (insulin/ovulation)Evidence grade B

    First-line supplement

    Moderatehigh

  • Anxiety / OCD / panicEvidence grade C

    High doses

    Smallmixed

  • Gestational diabetes preventionEvidence grade C

    Emerging

    Smallmixed

Conditions

How the entry reads its effect on diagnosed conditions: the direction first, then the grade. Never a substitute for the person who treats you.

  • PCOS ImprovesMetabolic + ovulatoryGrade B
  • Anxiety May improveHigh dosesGrade C

What is uncertain

Read off the same rows as above. Nothing here is added that the entry does not itself record.

  • Thin evidence: Anxiety / OCD / panic (grade C); Gestational diabetes prevention (grade C).

Interactions

Documented pairings with supplements and medicines. A medicine on this list is a conversation for whoever prescribes it.

  • BerberineWorks together

    Complementary insulin-signaling routes in PCOS.

The evidence in words

What it is

Inositol (chiefly myo-inositol) is a vitamin-like compound involved in insulin and neurotransmitter signaling.

How it works

It acts as a second messenger for insulin and serotonin/other receptors, improving insulin sensitivity and modulating mood pathways.

What the evidence shows

Grade B for PCOS — myo-inositol (often with D-chiro-inositol) improves insulin sensitivity, ovulation, and metabolic markers, and is a common first-line supplement. It also has moderate evidence in anxiety, OCD, and panic at high doses, and in gestational-diabetes prevention.

How to use it

2–4 g/day myo-inositol for PCOS (often a 40:1 myo:D-chiro ratio); higher doses (up to ~18 g) in psychiatric trials.

Safety & interactions

Very well tolerated; mild GI upset at high doses. Berberine — Complementary insulin-signaling routes in PCOS.

Bottom line

A standout for PCOS metabolic and ovulatory support, with a useful anxiety/OCD sideline. 2–4 g/day; well tolerated.

How it is used

As the entry records it, from the studies it summarises. Not a recommendation for you — doses that suit a trial population may not suit you.

PCOS
2–4 g/day myo-inositol (40:1 with D-chiro).

Goes with

  • BerberineComplementary insulin-signaling routes in PCOS.Evidence grade B

Entries that share this one's tags or conditions.

Sources

This entry lists no references of its own.

Last revised . A grade is this entry's reading of the evidence, not medical advice.