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DHEA Research & Evidence

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Evidence Level

Moderate

DHEA has a solid evidence base for adrenal insufficiency, where it is considered standard adjunctive therapy. The landmark Arlt et al. (1999) study in the New England Journal of Medicine demonstrated significant quality-of-life improvements in women with adrenal insufficiency taking 50mg daily. For anti-aging applications in healthy older adults, evidence is mixed — some studies show benefits for mood and bone density, while the DHEAge trial showed limited benefits. Intravaginal DHEA (prasterone) received FDA approval in 2016 based on strong RCT evidence for postmenopausal vulvovaginal atrophy.

Evidence by Condition

ConditionStudied DoseEvidence
Adrenal insufficiency25-50mg dailyStrong
General anti-aging25-50mg dailyModerate
Vaginal atrophy (intravaginal)6.5mg nightlyStrong
Bone density support50mg dailyModerate

References

  1. (). Dehydroepiandrosterone replacement in women with adrenal insufficiency. New England Journal of Medicine. DOI
  2. (). Efficacy of intravaginal dehydroepiandrosterone (DHEA) on moderate to severe dyspareunia and vaginal dryness. Menopause. DOI
  3. (). Effects of dehydroepiandrosterone replacement therapy on bone mineral density in older adults: a randomized, controlled trial. Journal of Clinical Endocrinology & Metabolism. DOI