DHEA for Health & Longevity - Quick Reference Sheet

DHEA for Health & Longevity

Created on 06/14/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 4.8 Audit

A hormone that falls steadily with age and converts into testosterone and estrogen. The clearest benefit is a local vaginal form for menopausal dryness. Other gains are modest and specific: small bone-density gains in women, slight fat loss in men, better pregnancy chances in some women in fertility treatment. Most longevity claims are unsupported. (Full Review)

Protocol

Standard Replacement Dosing
10–25 mg/day women, 25–50 mg/day men
Titrated to restore DHEA-S to the mid-range for a young adult; higher doses carry greater side-effect risk
Best Time of Day
Morning, once daily
Mirrors the natural circadian peak of adrenal output and reduces sleep disruption from an activating hormone
Approved Indications
Vaginal prasterone 6.5 mg insert; adrenal insufficiency replacement
Conventional medicine restricts DHEA to these; broader longevity use is more speculative
Time to effect
Vaginal Symptom Relief
Several weeks
Blood DHEA-S levels rise within days, but symptom relief takes longer
Bone Density & Body Composition
Many months
Bone-density and body-composition changes develop over many months
Fertility Protocols
6–12 weeks
Typically run 6–12 weeks before a treatment cycle

Benefits

Contraindications
  • Personal or family history of hormone-sensitive cancers (breast, ovarian, uterine, prostate)
  • Pregnant or breastfeeding women
  • Adolescents and anyone under roughly 30 with normal levels
  • Active prostate disease (elevated PSA, prostate cancer)
  • Women with PCOS or existing androgen excess
  • Men with PSA above the age-adjusted normal or a prostate nodule
  • Anyone with active hormone-receptor-positive malignancy
Key Interactions
  • Hormone therapies and hormone-modulating drugs (aromatase inhibitors: anastrozole, letrozole; SERMs: tamoxifen, raloxifene)
  • Antidepressants and CNS agents (SSRIs: sertraline, fluoxetine)
  • Anticoagulants and antiplatelet drugs (warfarin, aspirin, clopidogrel)
  • Insulin and antidiabetic medications (metformin, sulfonylureas such as glipizide)
  • Hepatically metabolized drugs (CYP enzymes; simvastatin, midazolam)
  • Supplements with additive hormonal or androgenic effects (Tribulus terrestris, pregnenolone, 7-keto-DHEA, soy isoflavones)

Risk & Side Effects

  • High: Androgenic side effects
  • Medium: Hormone-sensitive cancer concern
  • Low: Adverse lipid and cardiometabolic changes; estrogenic effects in men; mood changes and irritability
  • Speculative: Liver effects; cardiac arrhythmia and palpitations

Monitoring

Marker Target Why
DHEA-S Mid-range for a healthy young adult (sex- and age-specific) Confirms baseline deficiency and tracks whether dosing restores youthful levels
Total and free testosterone Mid-to-upper young-adult range, avoiding excess Detects androgen excess driving acne/hirsutism (women) or confirms response (men)
Estradiol Sex-appropriate physiologic range Detects estrogenic excess from aromatization, relevant to breast/prostate concern
Lipid panel (HDL, LDL, triglycerides) HDL >50 mg/dL (women) / >40 mg/dL (men); favorable overall pattern Detects the HDL-lowering effect DHEA can cause, mainly in women
PSA (men) Below age-adjusted threshold and stable over time Screens for prostate effects given androgen elevation
Fasting glucose and HbA1c Glucose 70–90 mg/dL; HbA1c <5.4% Monitors the metabolic effects given DHEA's influence on insulin sensitivity

Cadence: Baseline before the first dose; at 6–8 weeks after starting; then every 6–12 months during continued use, with cancer screening on standard age-appropriate schedules.

Qualitative Assessment

  • Energy levels and sense of vitality
  • Mood, motivation, and stress resilience
  • Libido and sexual function
  • Skin condition (hydration, oiliness, acne)
  • Appearance of androgenic signs such as facial hair or scalp hair changes
  • For vaginal prasterone users: comfort, dryness, and pain with intercourse