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Steroid Hormone Precursor / Adrenal Androgen

DHEA (Dehydroepiandrosterone)

The most abundant circulating steroid hormone in the body and the upstream precursor to both testosterone and estrogen. DHEA peaks in the mid-20s and falls by 70-80% by age 70 — one of the steepest age-related hormonal declines. Supplementation can restore youthful levels and shows the strongest evidence for bone density, skin, and adrenal-insufficiency support.

hormonal-optimizationlongevitybone-healthmood
Tier CUse caution — limited human data
Evidence gradeBControlled trials / Cohort studies
BH

Reviewed & fact-checked by

BiohackingHub Research Team

Editorial Research Team · Last updated: June 1, 2026

Verified

Stacking Interactions

How DHEA (Dehydroepiandrosterone) interacts with other compounds

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PregnenoloneSynergisticmoderate evidence

Both are upstream steroid precursors that decline with age; together they restore raw material across the entire steroidogenesis cascade. Common pairing in hormonal-restoration protocols.

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MacaSynergisticweak evidence

Maca supports libido and energy through non-hormonal pathways, complementing DHEA's direct hormonal action without adding to the androgen load.

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BoronSynergisticweak evidence

Boron raises free testosterone and modulates sex-hormone-binding globulin, complementing DHEA's role as a hormone precursor.

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Tongkat AliSynergisticweak evidence

Tongkat Ali frees bound testosterone while DHEA supplies precursor — complementary mechanisms in male hormonal optimization.

Safety Profile — Tier C

Use caution — limited human data

Contraindications

  • Hormone-sensitive cancers (breast, prostate, ovarian, uterine)
  • PCOS — may worsen androgen excess
  • Pregnancy and breastfeeding
  • Men with prostate enlargement or elevated PSA

Side Effects

  • Androgenic effects in women: acne, oily skin, facial hair (dose-dependent)
  • Hair loss or scalp thinning in predisposed individuals
  • Estrogenic effects in men at higher doses
  • Mood changes or irritability
  • Suppression of natural production with prolonged high-dose use

Drug Interactions

Estrogen and testosterone therapy — additive hormonal effectsAromatase inhibitors — DHEA is a substrate for aromatizationInsulin — DHEA may affect insulin sensitivity