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Low DHEA Level
  DHEA Low
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 Conditions suggested by it
 It can lead to...
 Treatment recommendations
 


Produced by the adrenal glands, DHEA (Dehydroepiandrosterone) is mildly androgenic. A precursor to other adrenal hormones, it diminishes with age and promotes longevity in animals. It is one of the best biochemical bio-markers of chronological age. DHEA has demonstrated protective effects for various cancers and is often effective for age-related issues such as sharper memory, enhanced immune function, energy, smooth skin, tired muscles, cardiovascular health, accelerated weight loss, and it may increase HDL.

Diagnosis & Tests


Some doctors allow trials of DHEA in cases where it is suspected someone is deficient; we believe in having your hormone level of DHEA checked first. Blood, urine or saliva testing will work.

Treatment & Prevention
DHEA can be purchased in health food stores.

Complications
The decline in DHEA levels appears to be a factor in age-related bone loss. In one important study, bone mineral density was measured at the lumbar spine, hip, and radius in 105 women, aged 45-69. Fifty women had normal measurements, whereas 55 had low bone density. The average serum DHEA-S level was 60% lower in the women with low bone density than in those with normal bones. Women with low DHEA values were 40 times more likely to have osteoporosis than were women with normal DHEA levels. In contrast, there was no relationship between estrogen levels and bone density. [Szathmari, M, et al. Osteoporosis Int 1994:4: pp.84-88]

References & Further Information
William Regelson, MD, of the Medical College of Virginia, in his book The Superhormone Promise, calls DHEA "the superstar of super hormones" and "one of the most powerful tools" available for enhancing and extending life.





Signs, symptoms & indicators of Low DHEA Level:
Lab Values - Hormones  Low/reduced DHEA level (confirmed)

Counter-indicators:
  Elevated DHEA level (confirmed)

Symptoms - Aging

  Health declining with age

Symptoms - General

  Chronic fatigue for over 3 months

Symptoms - Hair

  Reduced underarm/pubic hair growth
  Balding lower legs

Symptoms - Metabolic

  Low energy/stamina
  Difficulty losing weight

Symptoms - Reproductive - Female Cycle

  Reduced well-being during menopause
  Mood swings during menstrual cycle

Conditions that suggest Low DHEA Level:
Aging  Premature/Signs of Aging

Autoimmune

  Lupus, SLE (Systemic Lupus Erythromatosis)
 Low blood levels of the hormone DHEA have been associated with more severe symptoms in people with SLE. Preliminary trials have suggested that 50 to 200mg per day DHEA improved symptoms in people with SLE. One double-blind trial of women with mild to moderate SLE found that 200mg of DHEA per day improved symptoms and allowed a greater decrease in prednisone use, but a similar trial in women with severe SLE found only insignificant benefits.

Circulation

  Atherosclerosis
 Although there is some conflicting evidence, many researchers conclude that maintaining normal levels of DHEA provides some protection against atherosclerosis.

Hormones

  Low Sex Drive
 DHEA is the precursor to testosterone. Low testosterone levels, which reduce sex drive, may be due to low DHEA levels.

Musculo-Skeletal

  Rheumatoid Arthritis
 DHEA levels have been found to be low in women with rheumatoid arthritis, a condition frequently associated with osteoporosis. In a study of 49 postmenopausal women with rheumatoid arthritis, DHEA levels (measured as DHEA-S ) were significantly lower than in healthy controls. [Gaby, AR. Holistic Medicine. Spring, 1993: p.22]

Tumors, Malignant

  Cancer, General
  Lung Cancer
  Colon Cancer
  Breast Cancer
  Liver Cancer
  Basal Cell Cancer
  Squamous Cell Cancer

Uro-Genital

  Andropause/Male Menopause

Risk factors for Low DHEA Level:
Hormones  Hypopituitarism

Lab Values

  Low Total Cholesterol

Mental

  Stress
 Stress accelerates the loss of DHEA.

Metabolic

  Hypoglycemia
 Insulin levels may play a significant role in determining how much DHEA is metabolized. Studies have discovered that low levels of DHEA may be related to an excess of insulin. What this suggests is that anyone suffering from hypoglycemia or excess insulin may be prone to converting nutrients to fat due to depressed DHEA levels.

Symptoms - Cancer

  History of lung cancer
  History of colon cancer
  History of breast cancer
  History of liver cancer
  History of basal cell skin cancer
  History of squamous cell skin cancer

Low DHEA Level suggests the following may be present:
Hormones  Hypopituitarism

Musculo-Skeletal

  Rheumatoid Arthritis
 DHEA levels have been found to be low in women with rheumatoid arthritis, a condition frequently associated with osteoporosis. In a study of 49 postmenopausal women with rheumatoid arthritis, DHEA levels (measured as DHEA-S ) were significantly lower than in healthy controls. [Gaby, AR. Holistic Medicine. Spring, 1993: p.22]

Low DHEA Level can lead to:
Autoimmune  Lupus, SLE (Systemic Lupus Erythromatosis)
 Low blood levels of the hormone DHEA have been associated with more severe symptoms in people with SLE. Preliminary trials have suggested that 50 to 200mg per day DHEA improved symptoms in people with SLE. One double-blind trial of women with mild to moderate SLE found that 200mg of DHEA per day improved symptoms and allowed a greater decrease in prednisone use, but a similar trial in women with severe SLE found only insignificant benefits.

Hormones

  Low Sex Drive
 DHEA is the precursor to testosterone. Low testosterone levels, which reduce sex drive, may be due to low DHEA levels.

Recommendations and treatments for Low DHEA Level:
Hormone  DHEA
 The optimal dosage range for DHEA varies considerably between individuals. Men and women should consider taking a total of 15 to 75mg per day in one to three divided doses. Many human studies use a daily dose of 50mg. DHEA can be taken with or without food, though some believe that fat helps DHEA to assimilate better. DHEA can be taken in a cream form along with other hormones.

Mainly because DHEA levels naturally decrease with age, this hormone has been widely used as a kind of "fountain of youth". However, there is no real evidence that it is helpful against aging in general. Seven studies have found that DHEA supplementation does not improve mood or increase the general sense of well-being in older individuals. In addition, although some reports suggest that declining DHEA levels cause impaired mental function in the elderly, large studies have not found a connection between the two.


KEY
Weak or unproven link
Strong or generally accepted link
Proven definite or direct link
Very strongly or absolutely counter-indicative
May do some good


GLOSSARY

Adrenal (Adrenal Gland, Adrenal Glands, Adrenals)
The adrenal glands sit on top of each kidney and consist of an outer cortex and an inner medulla. Of the 50 or so hormones the adrenals make, only cortisone and adrenaline are recognized by most people. Some of these hormones must be produced to preserve life, while others help resist stress. Other hormones from the adrenals control normal energy output (along with the thyroid) and govern the breakdown of stored energy into quick energy sources. The medulla produces epinephrine and norepinephrine, which are specifically designed to help the body deal with stressful situations. The adrenals control the body's potassium/sodium balance, which is vital for energy production. They also produce sex hormones in minute amounts, which is important for later years when the gonads drop or cease their production.

Arthritis (Arthritic)
Inflammation of a joint, usually accompanied by pain, swelling, and stiffness, and resulting from infection, trauma, degenerative changes, metabolic disturbances, or other causes. It occurs in various forms, such as bacterial arthritis, osteoarthritis, or rheumatoid arthritis. Osteoarthritis, the most common form, is characterized by a gradual loss of cartilage and often an overgrowth of bone at the joints.

Atherosclerosis
Common form of arteriosclerosis associated with the formation of atheromas which are deposits of yellow plaques containing cholesterol, lipids, and lipophages within the intima and inner media of arteries. This results in a narrowing of the arteries, which reduces the blood and oxygen flow to the heart and brain as well as to other parts of the body and can lead to a heart attack, stroke, or loss of function or gangrene of other tissues.

Cardiovascular
Pertaining to the heart and blood vessels.

DHEA (DHEA-S)
Dehydroepiandrosterone (DHEA) is a steroid produced by the adrenal glands and is the most abundant one found in humans. DHEA may be transformed into testosterone, estrogen or other steroids. It is found in the body as DHEA or in the sulfated form known as DHEA-S. One form is converted into the other as needed.

Estrogen (Oestrogen)
One of the female sex hormones produced by the ovaries.

High-Density Lipoprotein (HDL)
Also known as "good" cholesterol, HDLs are large, dense, protein-fat particles that circulate in the blood picking up already used and unused cholesterol and taking them back to the liver as part of a recycling process. Higher levels of HDLs are associated with a lower risk of cardiovascular disease because the cholesterol is cleared more readily from the blood.

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Hypoglycemia
A condition characterized by an abnormally low blood glucose level. Severe hypoglycemia is rare and dangerous. It can be caused by medications such as insulin (diabetics are prone to hypoglycemia), severe physical exhaustion, and some illnesses.

Insulin
A hormone secreted by the pancreas in response to elevated blood glucose levels. Insulin stimulates the liver, muscles, and fat cells to remove glucose from the blood for use or storage.

Lumbar (Lumbar Region)
Lumbar Region: The lower back, five segments of the spinal chord and column, between the sacrum and thoracic regions.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Mineral (Minerals)
Plays a vital role in regulating many body functions. They act as catalysts in nerve response, muscle contraction and the metabolism of nutrients in foods. They regulate electrolyte balance and hormonal production, and they strengthen skeletal structures.

Osteoporosis
A disease in which bone tissue becomes porous and brittle. The disease primarily affects postmenopausal women.

Postmenopause (Postmenopausal)
The postmenopausal phase of a woman's life begins when 12 full months have passed since the last menstrual period and any menopausal symptoms have become milder and/or less frequent.

Precursor (Precursors)
A biochemical substance, such as an intermediate compound in a chain of enzymatic reactions, from which a more stable or definitive product is formed.

Rheumatoid Arthritis
A long-term, destructive connective tissue disease that results from the body rejecting its own tissue cells (autoimmune reaction).

Saliva (Salivary)
The watery mixture of secretions from the salivary and oral mucous glands that lubricates chewed food and moistens the oral walls.

Serum
The cell-free fluid of the bloodstream. It appears in a test tube after the blood clots and is often used in expressions relating to the levels of certain compounds in the blood stream.

Testosterone
The principal male sex hormone that induces and maintains the changes that take place in males at puberty. In men, the testicles continue to produce testosterone throughout life, though there is some decline with age. A naturally occurring androgenic hormone.




Last updated: Apr 13, 2008


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