This Supplement is the Natural Alternative to Spironolactone

YouGlowGal You Glow Gal Esthetician Sarah Payne Spa Dallas Colorado Denver Skin Blog Beauty Blogger Sarah Nicole Skincare acne DIM hormonal acne cyst cystic breakouts zit pimple hormone imbalance DHT Blocker Estroblock

Adult hormonal acne is traumatic, both emotionally and physically, and on the rise in women. It can trigger desperation, anxiously Googling for a solution we somehow missed, asking for advice from strangers on the internet. I’m all too familiar with the scenario from my own personal experience! Sometimes you find an answer, though. Thanks to those nights falling down the rabbit hole, I found a natural alternative to spironolactone that actually works.

Taking a prescription drug for my breakouts wasn’t a decision I took lightly. As an esthetician, I knew what my options would be and I wasn’t thrilled with any of them. Even as a longtime cystic hormonal acne sufferer, it took years of frustration to finally cave and visit my dermatologist for a cure.

There were three choices: a round of antibiotics, Accutane, or spironolactone. If you visit your dermatologist to treat acne, you’ll likely hear these suggestions.

Seeing as to how the connection between gut and skin health is vital in maintaining an acne-free complexion, antibiotics were out. I wasn’t about to throw off my body’s flora any further. Or I could take Accutane and destroy my body from the inside out, fingers crossed it might correct a textbook hormonal issue? No thanks.

Then there’s spironolactone, a diuretic used to treat high blood pressure and magically helps control androgen levels. Out of the three options, I already knew this would be my ideal route. Androgens are actually a male hormone that’s found in both men and women and a common culprit of hormonal acne when we have too much. When our body produces high androgen levels, it sends a message to our oil glands to produce more sebum. In turn, overstimulation occurs creating excess oil, altering the development of skin cells that line hair follicles in our skin. The result? Angry acneic breakouts.

For a year and a half, I committed to spironolactone, nervously at a low dose. I always felt dehydrated, never feeling like I could drink enough water in a day to keep up. I worried about my potassium intake since the drug is also used to treat those with low levels of the vitamin. The nurse simply told to avoid bananas… like what? Don’t I need a list of foods to avoid? Shouldn’t I be more concerned?

Worst of all, spironolactone never consistently kept my skin clear, a couple of months in a row at best.

Then one day while chatting with estheticians online about my acne, DIM came up as a popular natural alternative for spironolactone. Other skincare professionals were using it to naturally treat their clients who suffered from hormonal acne with success! Intrigued, I began researching this under the radar supplement and scheduled an appointment with my dermatologist. Not that I don’t trust my fellow estheticians, but I wanted an official opinion from someone with a deeper understanding than my own.

I didn’t know what to expect from my doctor since she had never offered a natural option in the past. Was I going to look like a nut case coming in with my internet research? Would I be labeled “one of those people”? Too wrapped up worrying about what she would think, my doctor caught me off guard when she eagerly agreed: DIM is a fantastic natural alternative to spironolactone.

Happily validated, I skipped out of the doctor’s office with visions of blemish-free skin and ordered my first bottle!

I know you’re wondering… what’s the deal with DIM as a natural alternative for spironolactone? What makes it so special?

Completely plant-based, DIM is found in cruciferous vegetables like broccoli, kale, and other leafy greens but it’s nearly impossible for us to eat the necessary amount to balance our hormones through diet. You would literally need to consume multiple pounds a day. Being able to take it as a pill is a blessing instead of having to force-feed your way to clear skin! In addition to balancing estrogen, when taken at a high enough dose, DIM has the ability to block androgen receptors. This means it can stop the hormones process of causing acne.


Estroblock helps minimize the effects of breakouts caused by excess estrogen.

DHT Blocker helps balance high testosterone and androgen levels responsible for breakouts.

For the curious, I used DHT Blocker for my high testosterone and androgen levels. Whereas Estroblock is good for excess estrogen. Both contain a blend of herbs with DIM for specific hormonal imbalances.

I’m happy to report that after religiously taking the supplement I saw a significant decrease in my cystic acne! Within six weeks my skin was more clear than ever before. With continued use, my skin stayed clear far longer than when I was taking spironolactone. Eventually, I tried an elimination diet, cutting out gluten, dairy, and sugar, allowing my body to heal. Now I rarely experience breakouts. In order to fully overcome my acne, I definitely had to practice a multi-faceted approach, taking everything into consideration. From medication to diet and topical products.

Fair warning: when starting the natural alternative DIM, it’s common to purge for a few weeks while your body detoxes. The purge was real, I wasn’t spared the experience! It was bad before it got better but the results were beyond worth it.

If you’re looking for a resolution to your hormonal acne consider giving it a go. Looking to get off spironolactone with a natural alternative with a proven track record? You should definitely give it a go. What’s there to lose when regaining your skin confidence is on the table?

Please consult with your doctor if you have questions on how to incorporate DIM supplements into your diet.

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About Sarah Nicole

Sarah is a Denver based expert esthetician, known for returning abused sensitive skin back to a glowing state without harsh products while boosting her client's skin confidence and self-worth. Sarah has been featured in Allure, New Beauty, Greatist, NBC News, and D Magazine among others. You can follow her on Instagram @sarahnpayne.

32 thoughts on “This Supplement is the Natural Alternative to Spironolactone

  1. Hey, thank you for this post. I have a question, how long did you take those supplements for? And how many pills per day? Thank u xx

  2. Hi Sarah! I started taking the DHT block on September 15 while I was on my period. Can this pills change your cycle? I was expecting my period on October 13/15 but still not getting it. I believe is because this pills are balancing my hormones? Can this happen?

  3. I know this is an old blog post but I just came upon it. How would I know which one, DHT Block or Estro Block, to take? Going to the doctor is not in my budget at this time, so I don’t know if I have excess estrogen or testerone.

  4. Hi Nicole!
    I am currently prescribed 100 mg spirolactone for my hormonal acne, and was wondering if there was a process of weaning off of the spiro and introducing the DIM, or if I could just make the switch right away. I contacted a naturopathic doctor to get professional advice, but thought I’d ask you as well to see what you thought. Also- since I’m already on spiro- would making the switch still make me purge???
    Thanks 🙂

  5. This article is literally everything I’ve been looking for. Going to try the DHT blocker immediately !! Thanks so much 🙂

  6. Do you need to take both the estroblock and the DHT Blocker or is just one needed. Or is there like a system that is needed not just one of the certain bottle.

  7. Thank you so much for sharing your experience. My dermatologist just recommended spirono 2 days ago and I’ve been restless about starting it. Started browsing for an alternative and came across your post. I’ll try out DIM supplement instead. Thanks and GOD bless you.

  8. Hi Sarah Nicole! What kind of doctor would we have to consult? A normal derm or would it have to be a holistic doctor?
    I’ve been having cystic acne for a few years now, as well as extreme hair thinning. The doctor said spironolactone would help with both, she seemed to think I have androgenic hair loss, but I’m just super worried about getting on something that strong as I have other issues relating to my gut and so. I would really like to try the dht blocker, but I have no idea how many per day/ what strength /what brand. My hair has gone from 100% to 40%, my acne scars are all over my face and just getting out of the house stresses me out at this point and I’m in the verge of depression. If there is a doctor / type of doctor you could recommend that would be great, really appreciate your time and help and taking the time to write this post.

    1. Hi! If your regular doctor can’t help, look for a functional medicine practitioner or naturopath to help you pinpoint your hormone levels xx

  9. Do you think these supplements would help with hair loss due to angiogenic alopecia. My hair looked amazing while on spirolactone for ance.

  10. Hello! I recently started taking DIM a little over 2 weeks ago and I am kind of breaking out more than before taking the supplement but with smaller less inflamed acne. I know I have high testosterone as I got my hormone levels checked also. Did you experience a purging period and how long did it take for you to start noticing your acne going away? I don’t want to give up now without at least giving it a few more weeks

  11. Hello! I know this post is a bit old, but was curious if you had acne on your back, and if so, did the DIM seem to help? Thanks so much! Love your site.

    1. Retinoids, salicylic acid, benzoyl peroxide… anything and everything I could get my hands on, but since what I had was cystic few products did more than make the breakouts manageable vs. getting rid of them. Roccoco Plant Harmonising Serum was the most helpful.

      1. Where do you purchase your Roccoco Plant Harmonising Serum? Is there a particular brand you like?
        I thought I was allergic to Benzoyl peroxide but just recently started using clearasil spot treatment because my cysts have been so bad. Seems to be working a little to minimize, but they still keep popping up!
        and I am off Spiro cause it made me too dehydrated.

        1. Hi! I picked up Roccoco PHS directly from the brand and paid shipping from Australia, but you might be able to find an esthetician who carries the brand here in the states. You will probably have to do a little digging, but it’s worth it. xx

  12. Hi Sarah,

    So is DIM a brand name? I’m a bit confused. I would definitely get the DHT Blocker, but you mentioned DIM and I’m just wondering if thats something else. Thank you.

  13. Hi, just wondering if you take both the dht and estro blocker so get both bottles. I am on 40mg Spiro when I am not on it my entire body and face, arms, back tummy everything is covered in acne and blackheads. I have extreme greasy hair and skin when not in it so do need both bottles or just one ? Amy x

  14. Did you start taking DIM while you were still on Spiro? I have been taking Spiro for a while and it does work for me but I would love to get off of it. I ordered a bottle of DIM but was unsure if I should take them at the same time or stop the spiro first?

    1. Hi Amy- I may have, but I think I cut out spiro first–my memory is a little fuzzy on that detail. I would speak to your doctor or the available nurse on phone duty to verify xx

  15. Do you know if you can take both? I’m on 100 mg of spir and I AM OVER IT. Looking for a new option but unsure if I can do both.

  16. Hi. What dose were you taking of the Spiro? I’m on 50mg and it kept me pretty clear for about 5 months but now I’m breaking out again consistently. I’d love to be free of this RX. I also use tretinoin but it seems to be doing nothing.

    1. Hi Kris! For the first year or so, I was prescribed 25mg. My derm suggested upping my dose to 50mg when my acne seemed to be coming back but it was too much for me. I tend to be sensitive to medication and I constantly feeling dehydrated. I worried about how it was impacting my internal health. xx

  17. Hi Sarah,

    Curious are these safe when trying to conceive and during pregnancy? I recently had my IUD taken out and my skin is going crazy!

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