The clinical practice of administering dehydroepiandrosterone (DHEA) or its sulfated form, DHEA-S, as a supplement to elevate circulating levels of this foundational adrenal steroid. DHEA is considered a prohormone, serving as a critical upstream substrate for the endogenous synthesis of more potent androgens and estrogens in peripheral tissues. This therapeutic approach is often employed to address age-related decline in adrenal function and support hormonal balance. Careful monitoring of downstream metabolites is essential for a precise clinical outcome.
Origin
DHEA was first isolated in the 1930s, and its role as a key precursor steroid was elucidated in the mid-20th century. The concept of its supplementation gained popularity in the wellness space as research highlighted its decline with age, suggesting a potential link to various aspects of vitality and longevity. The term “precursor supplementation” emphasizes its role as a building block for other active hormones.
Mechanism
Upon ingestion, DHEA enters the circulation and is then taken up by various target tissues, including the skin, adipose tissue, and gonads. Within these cells, specific enzymes, such as 3-beta-hydroxysteroid dehydrogenase and aromatase, convert DHEA into androstenedione, testosterone, and eventually estrogens. This peripheral conversion mechanism allows the body to locally regulate the production of active sex steroids based on local tissue needs, a process termed intracrinology.
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