Chemotherapy with doxorubicin (Dox) can lead to cardiotoxic effects, presenting a major complication in cancer therapy. Diindolylmethane (DIM), derived from cruciferous vegetables like cabbage, exhibits numerous health benefits. However, its clinical application is limited because of low bioavailability and suboptimal natural concentrations in dietary sources. To address this limitation, we developed a processing methodology, specifically fermentation and boiling, to enhance DIM levels in cabbage. Highâperformance liquid chromatography (HPLC) analysis revealed a threefold DIM increase in fermented cabbage and a substantial ninefold increase in fermentedâboiled cabbage compared to raw cabbage. To evaluate the clinical implications, we formulated a DIMâenriched diet and administered it to mice undergoing Dox treatment. Our in vivo results revealed that Dox treatment led to cardiotoxicity, manifested by changes in body and heart weight, increased mortality, and severe myocardial tissue degeneration. Dietary administration of the DIMâenriched diet enhanced antioxidant defenses and inhibited apoptosis in the cardiac tissue by interfering with mitoptosis and increasing antioxidant enzyme expression. Interestingly, we found that the DIMâenriched diet inhibited the nuclear translocation of NFâkB in cardiac tissue, thereby downregulating the expression of inflammatory mediators such as TNFâα and ILâ6. Further, the DIMâenriched diet significantly reduced serum cardiac injury markers elevated by Dox treatment. These results suggest that the DIMâenriched cabbage diet can serve as a complementary dietary intervention for cancer patients undergoing chemotherapy. Further, our research highlights the role of plantâbased diets in reducing treatment side effects and improving the quality of life for cancer patients.