I was not sure what the difference was between hesperidin and diosmin. Most of the supplements on Amazon contain both. I asked ChatGPT 5 to evaluate a typical Amazon supplement containing both:
Query: What is the difference between hesperidin and diosmin? This is the label from a supplement from Amazon. What do you think the actual bioavailability is?
Hesperidin and diosmin are citrus-derived flavonoids widely used as venotonics, particularly in Europe, for the management of chronic venous insufficiency (CVI), varicose veins, spider veins, leg edema, cramps, and hemorrhoids. Hesperidin is a naturally occurring flavanone glycoside found in citrus peels and serves primarily as a supportive compound. Diosmin is a semi-synthetic flavone derived from hesperidin and is the principal active agent responsible for most clinical benefits.
The supplement shown (900 mg diosmin + 100 mg hesperidin) closely mirrors well-studied European formulations such as Daflon/MPFF, though it is not micronized and therefore not optimized for absorption. Nevertheless, reported user benefitsâincluding reduced leg pain, improved circulation, fewer cramps, and hemorrhoid reliefâare credible and consistent with established pharmacology. Micronized formulations or administration with food may further enhance effectiveness, but the product as labeled is pharmacologically reasonable and likely beneficial for venous symptoms.
1. What are hesperidin and diosmin?
Both are citrus flavonoids, primarily from orange peels (Citrus aurantium), and both are glycosylated flavones, meaning they are poorly absorbed until metabolized by gut bacteria.
Hesperidin
- Chemical class: Flavanone glycoside
- Natural form found in citrus peel
- Sugar moiety: rutinose
- Main circulating active metabolite: hesperetin
Diosmin
- Chemical class: Flavone glycoside
- Semi-synthetic: usually derived from hesperidin via dehydrogenation
- Sugar moiety: rhamnose
- Active metabolite: diosmetin
Key point: Neither compound is active as-is. They must be deglycosylated by the gut microbiome before absorption.
2. Key differences (mechanistically)
| Feature |
Hesperidin |
Diosmin |
| Origin |
Naturally abundant |
Semi-synthetic derivative |
| Potency |
Moderate |
Higher |
| Vein tone effects |
Mildâmoderate |
Strong |
| Lymphatic drainage |
Mild |
Strong |
| Anti-edema |
Mild |
Strong |
| Evidence base |
Good |
Excellent |
| Typical dose |
100â500 mg |
500â1,000 mg |
Diosmin is the workhorse for:
- Chronic venous insufficiency (CVI)
- Varicose veins
- Hemorrhoids
- Leg edema and cramps
Hesperidin is included because it:
- Improves diosminâs pharmacodynamics
- Reduces capillary fragility
- Adds anti-inflammatory and antioxidant support
This 900 mg diosmin + 100 mg hesperidin ratio matches the European prescription product (e.g., DaflonÂź 500 / 1000).
3. What is the actual bioavailability?
This is where expectations need calibration.
Raw oral bioavailability (honest numbers)
| Compound |
Estimated Oral Bioavailability |
| Hesperidin |
<5% |
| Diosmin |
~3â7% |
Reasons:
- Poor water solubility
- Large molecular size
- Dependence on gut bacterial enzymes
- Variable microbiome conversion
However: Low bioavailability does not mean low effectiveness.
Why?
Because:
-
Plasma concentrations needed are very low
-
Effects are local + endothelial, not systemic
-
Metabolites accumulate in venous tissue
-
Repeated dosing improves steady-state levels
4. Does this Amazon product look legitimate?
Label analysis (your image)
- 900 mg diosmin + 100 mg hesperidin
- Capsule form (not micronized)
- No bioavailability enhancers
- No micronization claim
- No phospholipid complex
Conclusion:
This is not optimized, but it is pharmacologically meaningful.
Expected real-world absorption
That sounds small â but thatâs within therapeutic range seen in trials.
5. Why do users report dramatic benefits?
This aligns well with known mechanisms:
Spider veins / varicose veins
- â Venous tone (â venous capacitance)
- â capillary permeability
- â inflammatory cytokines
â Visible improvement over weeks
Leg cramps & night pain
- Improved venous return
- Reduced tissue hypoxia
- Reduced nocturnal edema
â Very common benefit
Hemorrhoids
An 80% pain reduction is entirely plausible in responders.
6. What would improve bioavailability?
If you wanted to optimize further:
Best options (ranked):
-
Micronized diosmin/hesperidin (MPFF)
â 2â4Ă higher absorption
-
Take with a fat-containing meal
-
Pair with quercetin or rutin
-
Healthy gut microbiome (this matters more than people realize)
Bottom line (engineering-style summary)
-
Hesperidin = support compound
-
Diosmin = primary active agent
-
This ratio matches proven European formulations
-
Bioavailability is low but sufficient
-
Reported benefits are credible and expected
-
Micronization would materially improve performance
Hesperidin = precursor (cheap, variable, gut-dependent)
Hesperetin = active form (better absorbed, more reliable)
Hesperidin is cheap and widely available. Hesperetin is not.