DHEA (Dehydroepiandrosterone)
Most abundant circulating steroid hormone, peaking at age 25 and declining ~80% by age 75. Precursor to both androgens and estrogens. DHEA-S (sulfated storage form) has a much longer half-life (~20h). Used for adrenal insufficiency and age-related decline.
Projected serum levels — 25 mg, once daily
Maintenance schedule: 25 mg once daily (oral).
Loading schedule: 31.1 mg on day 1, then 25 mg once daily — reaching therapeutic levels sooner.
Modeled steady state after ~1 days: peak ≈ 1.3 mg, trough ≈ 0.31 mg body load. Population-based estimate over 15 days for a 25 mg dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Hormone
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 12 h
- Common dose
- 25 mg
- Suggested maximum
- 100 mg/day
- Reference dose range
- 12.5–100 mg (single dose)
- Suggested cadence
- once daily
- Validated against
- 50 mg oral — Cmax 0.005 mg/L at 2 h
Documented interactions
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caution
Anastrozole (Arimidex) + DHEA (Dehydroepiandrosterone)
DHEA converts to both testosterone and estrogen. On an AI, the estrogen conversion is blocked but androgen conversion continues.
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moderate
Carbamazepine (Tegretol) + DHEA (Dehydroepiandrosterone)
Carbamazepine (Tegretol) inducer of CYP3A4 predicted to change DHEA (Dehydroepiandrosterone) AUC by ~0.67x
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moderate
Combined OC (Levonorgestrel / Ethinyl Estradiol) + DHEA (Dehydroepiandrosterone)
Combined OC (Levonorgestrel / Ethinyl Estradiol) and DHEA (Dehydroepiandrosterone) both push the androgen receptor and estrogen receptor alpha in the same direction.
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moderate
Combined OC (Norgestimate / Ethinyl Estradiol) + DHEA (Dehydroepiandrosterone)
Combined OC (Norgestimate / Ethinyl Estradiol) and DHEA (Dehydroepiandrosterone) both push the androgen receptor and estrogen receptor alpha in the same direction.
-
moderate
Efavirenz (Sustiva) + DHEA (Dehydroepiandrosterone)
Efavirenz (Sustiva) inducer of CYP3A4 predicted to change DHEA (Dehydroepiandrosterone) AUC by ~0.53x
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moderate
Norgestimate + DHEA (Dehydroepiandrosterone)
DHEA (Dehydroepiandrosterone) and Norgestimate both push the androgen receptor and estrogen receptor alpha in the same direction.
Serum checks 80 modeled interaction pairings for dhea (dehydroepiandrosterone) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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Dehydroepiandrosterone Replacement in Women with Adrenal Insufficiency
Landmark RCT showing DHEA 50 mg/day improved well-being, sexuality, and reduced depression/anxiety in women with adrenal insufficiency.
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Effect of DHEA on Abdominal Fat and Insulin Action in Elderly Women and Men
RCT showing 50 mg/day DHEA for 6 months reduced visceral and subcutaneous fat and improved insulin sensitivity in elderly adults.
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Circulating Dehydroepiandrosterone Sulfate Levels and Mortality: A Systematic Review and Meta-Analysis
Meta-analysis showing low DHEA-S levels are independently associated with increased all-cause and cardiovascular mortality.
3 published studies referenced in the app, each with a plain-language summary.