D-Chiro-Inositol (DCI) vs Inositol—this is a comparison between two closely related compounds that are often used for metabolic and reproductive health.
1. Basic Definitions
Myo-Inositol(MI):
- A naturally occurring sugar alcohol, often called Vitamin B8 (though not officially a vitamin).
- Exists in multiple forms (isomers), the most common being Myo-Inositol.
- Plays a key role in cell signaling, especially in insulin pathways, neurotransmitters, and lipid metabolism.
D-Chiro-Inositol (DCI):
- A specific isomer of inositol.
- Formed in the body from Myo-Inositol via an insulin-dependent epimerase enzyme.
- Especially important for insulin signaling and glucose metabolism.

2. Functions & Roles
| Compound | Main Functions |
| Myo-Inositol | Improves egg quality, supports ovarian function, helps with fertility, supports nerve function. |
| D-Chiro-Inositol | Enhances insulin sensitivity, regulates androgen levels, helps with glucose metabolism. |
Myo-Inositol is more abundant in the body and tends to accumulate in ovarian tissue, while DCI is more concentrated in muscle and liver tissue.
3. Clinical Uses
Myo-Inositol:
- Often used in PCOS (Polycystic Ovary Syndrome) to improve ovulation.
- Can help reduce anxiety, improve lipid profiles, and support metabolic health.
- More focused on insulin resistance.
- Can lower blood glucose, reduce testosterone levels in PCOS, and improve metabolic syndrome parameters.
4. Synergy
- Many supplements combine Myo-Inositol and D-Chiro-Inositol in a 40:1 ratio, which mimics their natural ratio in healthy ovarian tissue.
- This combination helps balance fertility and metabolic health.

5. Key Differences Summarized
| Feature | Myo-Inositol | D-Chiro-Inositol |
| Abundance | More abundant | Less abundant |
| Main Target | Ovarian tissue | Muscle & liver |
| Primary Effect | Egg quality, fertility | Insulin sensitivity, metabolic function |
| Common Use | PCOS, fertility, nerve health | PCOS (insulin resistance), diabetes, metabolic syndrome |
Bottom line:
Think of Myo-Inositol as the “fertility and hormone balancer” and D-Chiro-Inositol as the “insulin and metabolic regulator.”
For PCOS, the combination of both is usually more effective than either alone.
