DHEA SULFATE
hormone optimization for women


INDICATIONS FOR USE

DHEA is used to treat adrenal insufficiency, improve sexual function, and enhance overall well-being. It is also utilized off-label for anti-aging purposes, improving bone density, and treating depression or fatigue in postmenopausal women.

EVIDENCE RATING

✦✦ : Off-label therapy or non-FDA-approved medication with early but compelling human efficacy and safety data.

ROUTE OF ADMINISTRATION

  • Oral tablets or capsules.

  • Creams or suppositories

COMMON INITIAL DOSING REGIMENS

  • Initial doses range from 25–50 mg daily, taken in the morning to mimic natural DHEA production. Lower doses (10–25 mg) are often used for anti-aging purposes.

MECHANISM OF ACTION

  • DHEA serves as a precursor to androgens and estrogens, converting to testosterone or estradiol in peripheral tissues. It exerts mild androgenic and estrogenic effects, influencing mood, energy, and overall hormonal balance.

COMMON SIDE EFFECTS

  • Endocrine: Acne, oily skin, and hair thinning due to androgenic effects.

  • Metabolic: Mild weight gain or fluid retention.

  • Reproductive: Changes in menstrual cycle patterns in premenopausal women.

  • Rare: High doses may suppress endogenous hormone production or increase the risk of hormone-sensitive cancers.

CONTRAINDICATIONS

  • Absolute: Known hormone-sensitive cancers, such as breast or ovarian cancer.

  • Relative: Use with caution in women with PCOS, severe liver dysfunction, or significant androgen sensitivity.

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HELPFUL LINKS

PRIMARY RESEARCH | PUBMED LINKS

  • FDA Safety Data Sheet not available.

  • Nenezic N. Dehydroepiandrosterone (DHEA): Pharmacological Effects and Potential Therapeutic Application. Mini Rev Med Chem. 2023 [PubMed Link]

  • Rabijewski M. Supplementation of dehydroepiandrosterone (DHEA) in pre- and postmenopausal women - position statement of expert panel of Polish Menopause and Andropause Society. Ginekol Pol. 2020 [PubMed Link]

  • Hu Y. Impact of dehydroepiandrosterone (DHEA) supplementation on testosterone concentrations and BMI in elderly women: A meta-analysis of randomized controlled trials. Complement Ther Med. 2021 [PubMed Link]

  • Kushnir VA. Effects of dehydroepiandrosterone (DHEA) supplementation on sexual function in premenopausal infertile women. Endocrine. 2019 [PubMed Link]

  • Li Y. A dose-response and meta-analysis of dehydroepiandrosterone (DHEA) supplementation on testosterone levels: perinatal prediction of randomized clinical trials. Exp Gerontol. 2020 [PubMed Link]

  • Zhu Y. The effect of dehydroepiandrosterone (DHEA) supplementation on estradiol levels in women: A dose-response and meta-analysis of randomized clinical trials. Steroids. 2021 [PubMed Link]

  • Xie M. Impact of dehydroepianrosterone (DHEA) supplementation on serum levels of insulin-like growth factor 1 (IGF-1): A dose-response meta-analysis of randomized controlled trials. Exp Gerontol. 2020 [PubMed Link]

  • Strac DS, Konjevod M, Perkovic MN, Tudor L, Erjavec GN, Pivac N. Dehydroepiandrosterone (DHEA) and its Sulphate (DHEAS) in Alzheimer's Disease. Curr Alzheimer Res. 2020 [PubMed Link]

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